HomeMy WebLinkAboutPermit Electrical 1998-5-12
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22~.xu::m~ 0 ~n'T\CE: LEXP\RElf1HEW ELECTRICAL PERMIT APPLICATION
Sp~ar;O!(};(;oN 9'1 "4'J7 I"RMIi S\1t>.1: ERMI1 IS NU \ q ~ S
INSPECTION REQUEST: 72"6'd\P1%9 ""'0 UNDER 11'115 P CO rOffi ty Job Number () (;)
OFFICE: 726-3759 t>.U1HOR\..'" Bt>.NOON", .
o\!t...\ENCEO OR IS 1'\ 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATI;[ ltJINSTALLAfPWN" ~ PERIO\).
~ ) a fI VI r.N'f ~eoO'" . A. New Residential-:Single or
- , Mul t i-Family per dwelling uni t.
Service Included:
,j.,EGAL DESCRI,E:J:,T,QN, - .
1!JV}J/l>P\( I lu~?kCf 2. -oL7oo
SJOB DESC1PTION ~
-f' Cui;- I / C;Y1.t
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~ .4A-{t-JtV'/'- (,1
Address 7Jl ?f';v,~;;r S' J-- .
City_8~V)/ Phone (;;fC-l/~1
Supervisor License Number J ((-dtJ-U (;5
1 (j/~
Constr Contr. Number i::[.]3O,l
}il-/q!
Expiration Date
Expiration Dat"e
";"'12": :S"~/2)"_
/- I/I;v-;t f/.~;t;, D.
Owners Name r:lJl)~" ltJIi {J I AM 5
, fi1J1I.I" I .-
Ci ty V Phone !JYIf-<7Jt;
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signat~271 c rr;:::>
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RECEIPT 11: , ~ j...-/ /S~
RECEIVED BY: /. : Tn .J A _ _
1000 sQ. ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
S 40.00
$ 40.00
$ 20.00
. V S 36.00 ~()
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