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HomeMy WebLinkAboutPermit Electrical 1999-3-30 08/30/96 10:48 5'503 726 36811 SPFD DIlV. SER. 1al002 ; .. ~" 0 owing project as submitted has ihe fOllowing' , lOnlng, and does not require specific land use ' approval. " , Zoning ('I;a....: Date g - 30 .: '1 "'I " '''lh. ' 2~UFTBIi~~~__ __.__ .., .)O/~l::iV"'IO' EJ:.ECTRICAL PERK!T APPLICATION Sp~!lJjlpn~'I.'OWrlJ!.' 'tV.'O ", 0.' INSPEcrION REQUEST:, ~26-3769iI)O~'cafio/) asaC!o rf!{JQ/)1. City Job Numli~r' 7"tf/J If/ '7 OFFICE: 726-3759 ,009' A9S.< CerI'9'PteC/h,.ailitreq' ',' " , ; 0, y~ - -OaT 3_~ i~OKPt!KT5 FBE-i SCHEDULE BELOll 1. ,LOCATWN OF INSTALW\TION/) Calli/) ~lJrn:y 'VOTO ~OSer;~ rego"YOllto ' " 1<<2..' r inn t.u rMkw",,~Iia.~~tQ. d~;;tA:'i/) ~eWII!\~fi'<lll~ti"'li,7.Single or , I" I !II /)ter. ('lV.frU'l;~~.-ra~1Iy~fP!!J.':::<,lwelling unit. 'LEGAL DESCRIPTIOt1.~ Ce/)te ~Oreg (s~r~eet.~nBiU<Leo:Ij',' '. /:7f)':3"J..~2-5 0,501' rIST_8aO/)lJti!.,:etelearlJles~T." Items, Cost , O"?;~" Ily lito ,plio/) ~' . 100~q~;fit:;1i;;'r less Each aaditl~nal 500 sq. ft or portion thereof Each Hanuf'd Home, or ,Modular, ',Dwelling , Ser~ice or Feeder , . ~~OB DESCRIPTION 1+',.rM >~.~ r , Permits are rion-transferable and expire if \Jork is not started vithin ,180, days ' of issuance or if work is suspenied, for 180 days. ' " 2. CONTRAcrOR INSTALLAT;ION ONLY, ,B. Elec~rica-l Contractor ft;: Il; bS flR.~b".\cs 'Address 1I1r'1 NIN, ~Io."~f~"': " city~;"A, Ph~n~'{,~-'2.i..'l""CI~~ Supervisor, License ',Numb!>r 3~: 1t.:!Z4iJ Expiration Date, /o~ .i't:-9" Constr Contr. Number ' l2..."'>~t:::" Services or Feedets Installation, Alterations' or Reloca,t ion: " " ,200 ,amps or less 201 amps, to 400 amps " ' 401 amps to 600 amps' 601 amps to'1000 amps Over' ,1000 amps/volts:, , Reconnee t ' Ollly , , i Sum' $ 85.00 $ 15.00 -"---'.- " $'40:00 ;' $ 50:00 $ 60.0Q , $100;00', , $130.00 ' $300.00 $ 40.00 c. Temporary Services"or'Feeders Installation,: Alteration or Relocation Signature of Supervising'Electrician, '~t::..JJ? ' , ;-. \'~) D. Branch Circuits' Owners Name~t;5t;;;...\-.:;c~. '.) 'f' , ," ' Ie:: /) 'Jjf4 'New, Alteration, or, 'Exterision 'Per Panel Address /nftl, j//tJp4.P.4. j~~'lI.'tT~ One Circui'~ ,. " $ 35.00, ,City, S~///;I/ Phone' ,,_:... HALlcXPIREljaAlJ.M~itional, ' , / " '~"~'iI'nt:~'T-, ,t:i'f&Ji1tJ.&!; vith Ser)'ice O'!"ER INSTALW\TION ':,'" : . ,', ,HSP~&tllr~ed~TPermit , !'IIVY lR['1'l1 ',AIJ;JQN.,,' - '. " The installation is belng' mace: hnPEBIOn 10;. lli'soeJiilianeous (Serv.ice/feeder not includ'i'd) p'roperty I own 'which is not intended' -Each: installation', " ' ' for sale, 'lease or rent. Pump ,or i'rrigation " $ 40.00 ' Sign/Outline'Lighting' $ 40.00. ' Limited Energy/ReS $ 20.00 Limited,Energy/Comm , $,36.00 ~~, , d , " ~~.(o .... . . -z,C - ' , ;:<;(0 , 1.'1">'6," -.; g,iK " Expiration Date 200, amps' "ar less 201' amps to 400 amps Over 401 'to 600 ~mps Over ?OO amps Or 1000 '.'Ovoers Signa,ture: , DA~i~- 'JIJ!f9--------'--:---~7"-'" , RECEI~:I , ' /J S ~ r If /l ' , . /I nRCy.J.VRII I\Y: /!z.y"/AlILvl/, 5. SUBTOTAL OF'ABOVE 5% State Surcharge , "3% Administrative Pee,' TOTAL ' .. . ' $ 40.00, $ 55.00 $ 80.00 voltS see "Bn above .- ',' $',2.00 " '