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Permit Electrical 1999-8-5 (2)
w :'e e " " e .' .... ,"'e.'.;/'. , '''(,r ,."" ",' , '.~:':"'...:~:'~~'~" . -. .....~.~ I <:..\,.;\ . '. ~: 'l )>2?;~( . . ' . .-:~')~~ . <> }..~.t~:;~ ..:~t~c~~{::~:, , '.Y.i'3~',~: ; ,,~h:.':r -'," --, '.'", '~.,:. ',;,.' :~~:C:~: " ..t. , . .. ' , " . . z " , a~~~~~~~nd does not require specific land use Zoning '--Oft- Date ~ -5'" -c:; c; 225 FIFTH STRA4lfflOrized Signature ckA.J _ ELECTRICAL PERMIT APPLICATION ~~~l~~~;~;~I~:;;1L?J;..~~~"~r~~'Jq.;"~ ~: _ _:~_.... ~.i ,ty_~?"?N,,~~e:. ..1'1/ 0 ~ () OEFICE,:,?>~, <71'26....3759, ',..." ". " . , " ' , ,....~ ",~.~A?'..~~,.~'~'';,f;'1~P~"~'',,iff1J'I~~:;tO''l-,1'.\i:l~~l.,,'J8;:u.~'''i'J ~'<''''-""'., ", n"' .1'.',."" :l',:,:-' ' "", 1'l\.)l?:'~''1'~li.;YI~:'i.'1:l....L ; t'''\'w'''''''~'i.4q,,,;i;r:,,t~j$' '"" :~l;;;:"",l!' i,~,.,' "',, '", ",' " .' 'lli\::,:'1"''''''<'::,f'\.\-' Ji ,:.4'.,1.. '(Yi~fi;",:(a~~]l.. ~iiJ'~' "~', l"i.":M<1 ;::~; '~'t' "l 1'~;.::';l';";'J J" !, ,..'" .. ~tr"':">;;'" ," ..,:i}'l$)~~";",<..lh''''~'':' ,~t""INi(;'~3' ,~'li'r:;~OHP't'~E,,~\~t"Ertl;SG"HE.'i'!,t;T';:J, ,B'E:':~OT.T\" ( "..,9g.'\"l'i,."i< '~. .),..~". '"It..i" '''1 . _"',t', ,-',.}'.fc.l;:'-:"',,", .,.,_..) \'l(~ ,....,... '}l,~i t.....,Vfl'~,; .. ,.V .L.IL~'l:.' ....w ,~} 1:IV'~~., l:.;;W, ;1. .~'rh-..a:"';l\,...\h., tl tdt .J~1.:lf)~ tt-";!)-l:(: . ' ..:.1..,....: ":....;;. ~:A....:.Ir-.;:~t~'>:~ '1'~-'.:,~" .(,;:'>t' ,I." -' J'\' 'l.~~,I\\:' :':.r;,~'1i.:.~~~, :d'70,~/;.'1~~...,'i1~tt'~.(\>j.l,..':..<. "':'t'l:!'ti~.~ .(l"W~ ~ t.,:~ i~:: -:':1 ~.~~ii I'\~'; 'I\: ~~,:~'r,~~~i:'W{\W<'1Jt\i;:,~ "~',r.'~ ,~l,.rrr ~~'i(t,,~ ,~'. 'h,q 1 '-OCAT~.l.ON OF--INST''',T4,i'A'!l'!:T''0' N,=J'''''''~~:i!lij'"...~~"" 't,.;' '. ,"~;'.' ",,,, ,','" ,,' '''" .'"., ,'\!s,'i', ,', ,'.., ."..*'4'11.:,' ~,.."'7 ',':1'<1' '.' ' ", . l." ':U..d..Il'\..:J.. '. -:--~ "':, --.,., \. -......~...... ,.......:~-:"< .:.~:.~.l,~_.:\~1,;fi~.:.a:..r~ih~~}lu~al~H~)t\.;:W).,~i. 1'1.~.~~~ ~ I (~:,: ;' . '5 \ ~\ ~ A.1S"t" A. Ne..' KeS10e!'! tlal-Slng.:.E 0:- Hulti-Fam:ly per cive~::n& unit. Service Included: aIL /1 0 If~'t ~ D~SCRIPTION 04!q 17 "'.oms ..:.. L,- . Cost SUi.: JOB DESCRIPTION WnL. ~ ~~-'-- PermiMDIICl;en-transferable and eX.E.!..r:~ i f vOTl4IS~EP1MIT~eXf>jm8lnHW~ of iSft~~d6Nm!~THis~~mlfdNffi 180 d~s:'~~: ' COMMENCED OR IS ABANDONED FOR 2. C~y~~TION ONLY .E. Electrical' ContractorDlE&oN ELEallC SERVICE '. ' Address \JO ~ _~~~ City~ q'~~Pho~e ~4-~ \ CdiL ' Supervisor License Number~ ~ ' .. ",: 1000 sq.ft. or less u -, '--Each addftiQn.al 500 sq. ft or portion thereof Each Manuf' d Home. or Modular Dwelling Service or Feeder' S 85.00 S 15.00 S 40.00 Services or Feeders Installation, Alterations or,Relocation: . Expira .ion Da te' Ii? - I - 0 I , ' 200 amps or less S 50.00 201 amps to 400 amps S 60.00 401 amps to. 600 amps, S 100.00 601 amps to 1000 amps $130,00 Over 1000 amps/vol ts S 300.00 Reconnect Only S 40.00 . '.U - "i"1W;dl.\lJlI~::'YOUtO lA-1Taie'Jifp~~ 1. "Y r~.rv 1 nes cJH:lgf>,f-j'gtt~ fo\lownsmA.lDitlPYf1C! bXI l~f&-J ~Pll serfc#tiil oca t i on Notification Center. Those hOAR 952-001- in OARQJ6~'.J091 ~ ~~~g s of the rlllee>brO . 00 0090. Wucml!Y OOtaff0@Ora~p.:.s: 4-I^p~n~ 55.00 ca\ Hgr\tft9~e~r6~tEJD.~~ i;"'-~'fisati8n 80.00 nUll reff@@Ie.a@pl!)QrolIiUiW~b 4 'l'ts see "B" above Cente.r is 1 ~800-332-234 . D. Branch CHem ts . > I. 'Ii I I . Nev, Alteration or Exter.sion Per Panel " ",,/ S I.#'- l..f)l.' '. Constr Contr. Number ~ ~~OO C~l Expiration Date ,'-q ~7Lf -00 ; Siznature of Supervising Electrician ~ fJ~~~,-IC!()~'k Owners Name ~ Va.J \\C> .0. Address ~ :i ty S 17 r 0 Phone ~- n.:tJk, r OVNEE INSTALLATION S 35.00 I One Circui t Each Adcii tional Circuit or vith Seryice or Feeder Permi t, .,:..,',,: ,$'" 2.00 'j '" The installation is being made on property I own which is not intended for sale. lease or rene. . ~ , . ~. '., . E. Miscellaneous (Ser~'lce/ feeder -Each installation Pump or irrigation Sign/Outline Lighting , Limited Energy/Res ,'~~ . ",i" l:;i,~ted Energy/Comm ,'..l~r.:'.' '.~ ..;~:-,,~~, :..,~,.' ~;,,'5~",' SL""ULAl:. OF' ABOVE ..>~" ,-;\%.~tate Surcharge ~)i> 3%,:ldministrative Fee .(,::",~,....~;~~"" , ...w.t.i:'~: .,.....""'~,..~,.. .a.u~" ,":~~IrEt{,_~:E!J;~~" .~(, ',: " " .' . ~. . .; .', not included) 'ners Signa ture: ! S 40.00 S 40.00 $ 20.00 S 36.00 . DATE: ?il S-/1'7 . ,',>\' RECEIPT f: " ,4' O!~ &" /'J-;i;.y{{, ," ~',,:, '{ED BY: q/""),;..;J/"c)!"ii~0; .;'...~~)~: ;,' " .."'..., ", ~'A'''t,.;".,.' ,'.', l<....... ,',',", ,,..,,'~:i '., ;,,-, - " .=-,::..,..'".l,..... . ~..~__ ro.....~~:.1.i.f~. ~ . ._' ,,_~. - .~~. .~~- _~, 0-0 ~ '"4~ (OS ..-:~c;c: 5b ) .{',' , ';;J,:.,," ,.,;'.'-'