HomeMy WebLinkAboutPermit Electrical 1999-9-28 (2)
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spA FIELD
lowin roiecl es submilled hes Ihe following
225 FIFTH STREET :~~i~~ and g ciaes nol require specific land use .
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OFFICE: 726-3759 q_~'!-c,c:;
Date. ~ 3.
1. LOCATION OF INSTfl!tJ.b'lZllill!ligneture
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LEGAL DESCRIPTION
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JOB DESCRIFTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERKIT APPLICATION
. Ci ty Job Number
COHPL~E FEE SCHEDULE BELOV
2. CONTRACTOR INSTALLATION ONLY
Elec trical Contrac tor D. oI1'Y; B,;d
AddressLO. (31))( '-I/J5t/'t
City ?/ u91'np Phone
Supervisor License Number
.B. Services or Feeders
I . Installation, Alterations
~11~f.ronL~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
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3831 )11
Expiration Date IO/qq
Cons tr Con tr. Number 4 <;( /t! 5
Expiration Date i./ / /J/'J
. Signat
I
e vising Electrician
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-:::::::::::::,
Owners Name HIJOVlf (lOIlS'1rl/f')-,im
Address PO. ;'J;/J\t 7~" /
City t I/? I'/U Phone LL '1; ~ - tj / 50
OVNER.INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: _ ,q- 7~f"3C::;
RECEIPT I: ~~...s-
RECEIVED BY:/ / "",.,..,. ...-f
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'9~/7G 7'7
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00 'J..,O./JO
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
'1..0. 00
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