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HomeMy WebLinkAboutPermit Electrical 2002-11-18 /' EL~CAL PERMIT APPLICATION ,...city Joh Numher~ct1 . ' 200 amps or less ',: , . . '-'. 20 I ",nps to 400:amps Phone (C;,,1) 6RR.;.'hl:{1 ". 40'\Cmps to 600 amps '. , ,.601.anips to 1000 amps' Supervisor License .!-liunO'er ?71 Q<::' ".' . . , . ,';:", b, ,(;~rlodi)~mpslvolts " -\)") -". 'l\ \- - -h' _ - .. , . .jt',~~ ,', '.,Recohnect<Jnlv.' ", . ' . _...,t!~: _' ,.~) - ~'\.l!;:":" . :1/;" ''\)''S' _,' E~piratio.nDate 'to/01-/()':t . _J;~" ":~.":.: -'_~' _~...'. _\.:i'1'- .. - " '. .... . '" ;:'.~. <;::-"Tem)l'o,U1'y.Se~iCes:or Feeders: . ,. . _. . ". . _,. k. .I..r' ;' ,. ",",,., ,'.. .V'\-.,:.,....G":. , . '''-'C:;onstr Contr; Number" 7;"''- 1la.C. ,,"':.~~ ",., . . ~, '.rristanation~.AlteI7ation or Relocation <'_','_~ - -.~.~.. .....-.:,: ,',;~,(~,~~~:-::~~,,'"~':i)~';:'-"~~_,~;~::>-,:-;:~..' .. ," ~, ~,,' ;," >ExpirationDate 10/01/()"\.t?');.. ..,\).,.!,,"j" \,,':.,;'. ~9,0'an!ps.orless , ':: ij" ,~t':' :1\. l'rY\O~':ZJ~u:~':;)~~~~~":.;~,5';:';>:"2~Qfjmp~'.to'400amps)...,;' ,," '. $igna.~r~.o.f .~upeJ'\'isjng Ele~trlci,a~.."~: ~ ~r:;'ICS<''''?' ';.-.t'~~..i~~.,40t~9,602:~l1lpS "':":. . . ,. " ,; -",-'0-" '" , 'I;>' Of' ~O ,v.B ,,')0., !o" Over 600'amps or 1000 volts see, . ': .' , ' : '.., , - \(\ R) ,. '-.'\' \; \ .. I" '. .... . . -', '. '. ~Q) . ~(:, _ \~ ..,,\\"- IIB" <Ibove .. ...~..,~~. " . ~',. " -~\ ,'." OJ v~, e" .",,'-' 1 ; ',,' . , _",'0 G'lF ~; , )~ <\\)" D. Branch Circu'its , , _. , , , " " " New fl.Iterati~n or-Extensio~i{; Panel . .:Addr~~.Q:rl;I. .~~_ OneCirc~it, ~~'\~~~S~<;)'\- $43.00 , CitvN\\. ~ nnontrl"hone~:-tQCI Each Ad~ilf.1lh~~'3~~'Th Service ,~. , orw~'p,\~1l~<;)~ _$3.00 OWNER INSTALLATION' ,('~. ~ S ~\)'i:.~ &"?-~ The'installation is being made' on , ~~'\~0-iJ'fr.~lIh~I/.I!~~~:ice/feeder not included) property I own,wluch IS not Intended ,\'(-.\S ~~\\..":;. 'l5'Jj))u~~on for sale, lease or rent. 'I>':>'\~ .",'i:.~...!.\1R ~rrigation _ $50.00 ~ ~~\'" ~llWOutline Lighting $50.00 C; ~"- \~inuted EnergylRes $25.00 ~ Limlted Energy/Conuu $45.00 .. I. \Q~~N ~Q ,,0 l'\"'o ../'; J'~ ()V ,/. L~~.N r:rlJ.~l B E I N ?o~ Permits are non.tr ferable an~Pire if work is not:staned within 180 days of issuance or.ifwork is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or ponion thereof Each ManuI'd Home or Modular Dwelling Service or Feeder " ~. , ' 2. CONTRACTOR INSTALLATION ONLY' B. Services or Feeders . Installation, Alterations.or , " INC. Relocation: . ,.. 1,_, ," , , .;~ :'.:',( ;...." Electrical' Contractor. f'FRT<:1::ENS[\N 1<'1' 1<'CTRIC, "J. t-.:., ,,' ...."',~- ~'. ..,;:..1 :~::.. Address HfQRiumj1<'T nJillll<" , . , '. "t'-". . ',....'.. ~ '~', City F1J(;M f, Owners Signature: .. Items Cost Sum. -1-$106.00 ~.CO --L $ 19.00 \9. ~ :>. $ 50.00 ,', $'63.00. . . :$ 75.00:-- ':$125.00 ~ $16~.00 _:$375.00 . $ 50.00 ,,-', .. " ,;. J , , ,j _ .$50.00 ' ~$69.00' $100.00 " ',~, . , ~~l><..~ro ~ ~ (JJ ~'< i\linimum Electric Pel'mit Inspection Fec is S45.0n + Surcharges ~~ \43:1S 4. SUBTOTAL OF,ABOVE 7% State SUI'charge 8% Administratiye Fcc TOTAL