HomeMy WebLinkAboutPermit Electrical 1994-6-30 (2)
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SPAlelELD
~~f~~tO~I~~prOject ~ 8u~mltted has the following .,
225 FIFTH STREET appro;al. oas not requlrespeclf;c land U8eELECTRICAL PERMIT APPLICATION
~~~~~~~~img~~~~ 9~~~~37~jno . L-Dg City Job Numbe~ ~~~~7 ~
OFFICE: 726-3759 - Dllte. -(P--6<)-C('f
. ;. l 3.
1. LOCATION OF INSTAL~ Signature JJ J'lA..,;
17~"'.S- _~~~7"7' A.
New Residential-Single or
Multi-Family per dwelling unit.
Seivice Included:.
COMPLETE FEE SCHEDULE BELOV
LEGAL DESCRIPTION
!? -o:Z - ~.:?- ~ 0 /~~ /
JOB DESCRIPTION
~C-~. .~A' ~/(-.r,~~
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. '. 0 t Installation, Alterations
Elec t ri cal Con t rac torJACfi[ r/rTR,fCt. '" ~f1 ~J-I(,r. (NCor Reloca t ion: .
Address ~~ rt~ .50. S~ nl )r 200 amps or less
201 amps to 400 amps
CityS~Y'lnCJ-(,eld Phone7.tf7 ;(.tJg;f 401 amps to 600 amps
. v 601 amps to 1000 amps
Supervisor License Number 3'] 3S- S' Over 1000 amps/volts
Reconnect Only
Expira t'ionDa te /o.~ / ~ 9J'-
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 77()5"<
/~- (- c;c.(
200 amps or less
201 amps to 400 amps
Over 401 to 600- amps
Over 600 amps or 1000 volts
Expiration Date
.
,
Signature of Supervising Electrician
~
D. Branch Circuits
Owners Name -,7.4- V!1l- c::;,'R~ ~~.-
Address
$ 40.00
$ 55.00
$ '80.00
see "B" above
New, Alteration or Extension Per Panel
One Ci rcui t c--- $ 35.00 ?S
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
5. SUBTOTAL OF ABOVE "#J<i" -~
5% State Surcharge ' -II I' ~2:
3% Administrative Fee ., ~
TOTAL -:?? ~t:::>
,
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------------------------------
DATE: (:-.- -::r p .. ~ t..)
RECEIPT #:.j~ -7~
RE,CEIVED BY: ' ,:q~~1f!.
.