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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