HomeMy WebLinkAboutPermit Electrical 1998-1-6
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THIS PERMIT S . -
HALL EXPIRE IF THE WOR . Authorized Signature
225 FIFTH STREET AUTHORIZED UNDER THIS PERMIT IS NE~CTRICAL PERMIT APPUcATIJI.
~~~i~:fiEg~~~ 9~2~~~CED OR IS ABANDONED FOR ~i ty Job Number q too 0 q
OFFICE: 726-3759 _ ANY180 DAY PsRIOD. . ,
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIFTION
17 I? 3 ~ 5' Lit
.
()()500
JOB DESCRIPTIOIj. C'
C fAAh>' _ ~ EY-Vl c...<..e...
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
Address 4 f7,
City ~f'~"
<; '" ~ Lf <t
Phone 14- 7 -0'["1'
Supervisor License Numb~r ~"Vb -..$
Expiration Date /O~/- 'i r
Constr Contr. Number C L g-1,. If'
(., _ <{" _ cq'
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I
I
-
. A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dvelling'
Service or Feeder
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
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor L..H. '(Itorz.re.'~elEGror Relocation:
S -rfLc.c..J..
$ 85.00
$ 15.00
$ 40.00
~
I~~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of su~;;:ng Electrician
)C g~ //'!.....
-. - ~' .--: D.
Ovners Namel :f'J.<) ~ IRusr
Addressd7K7 /Jf/~D{_~ ::::,r~
Ci t~ pHone'.
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~ignature:
-.
/
DAT~ --- I - & --CJ 'is
RECEIFT #:
RECEIVED BY: 11 (YY)..'CkCi... (t' U
200 amp~'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vo.l.ts see "B" above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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