HomeMy WebLinkAboutPermit Electrical 1997-7-23
~.
NOTICE:
THIS PERMIT SHALL EXPIRE IFTHE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
~~ir~~~~~~~GON 9f~~,~~~r.9,~}R}o~1~P.,q~~~fqB- :,~~:UCAL PERMIT APPLICATION
INSPECTION REQUEST: ~~9AY.PERI01D:oquiro"~o;;;"LI,,:u.City Job Number 97// /5
OFFICE: 726-3759 ",.",.', t
Zonir'J_ ,ct If 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INST~d.r:~.;f.;- ~/ ('/l
~ lODrl (()r\.cl\ '", -" ,A. New Residential-Single or
Authonzl'd Slgn&turc 0 ~ Mult ~-Fa~ily per dwelling uni t.
LEGAL DESCRIPTION '5 . Se'rVI~c .).~luded:
/"7 ()!:> d..~ L/4 0, ()OOO Items Cost Sum
$ 85,00
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
. JOB DES~RIPTION
~L \jl~ I~:T\N, ~ ~('} ,Ullh.., ilim,d-~
~t~~i~lble and expire'
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
,B.
Electrical contractor$ R Dotlri 1(\, ;~.
Address p. 0, ~qj t4-7/J-J .
Cit~F- Phone'lt.JI-:J/J-Ob
SupeL'visor LIcense Number I b~hS
Expiration Date /O-I-qg
Cons t r Con t r. Number O?lti.9
Expiration Date q -I-qrj
$ 50.00 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signature of Supervising Electrician
/'/, ~-~ 2
~'--....-.c D.
Owners Name
Branch Circuits
New, Alteration or Extension Per Panel
Address
CitY}II~r<\Q \ Phone Q'14og
O\INER INSTALLATION
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---
5'0.00
1..$'n
l.5o
---5-1/-. 0 0
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
----------~-----z:---------------------
DATE:7 -03-:- 77 . _
RECEIPT #: U oL(~ /J I 'S .
RECEIVED BY'Ll. fhli fJ.,Odo