HomeMy WebLinkAboutPermit Electrical 2001-10-24
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The fOllowing project as submitted has the following
lClhing, and does not require specific land use
~pproval. ~
Zoni(3
225 FIF'TB STREET Date ,I tMJDI . 1
SPIUNGPIELO, O.RE~~j~hd Sig,nature ~1 A J
INSPECTION REQUESt: 726-3769, -- --'0
OPFICE: 726-375~
ELECTRICAL PERKIT APPLICATION
Ci ty Joo Number d 1- Oty 5' If r-1) L
.3 . COMPLEtE FEE SCB:EDUl.E BELOY
1.
L?CATION OF I~.GALLATrQN.
::i3 y~ IJl t:1' ~
. LEGAL DtSCItU"!'IO~ fJl_A .
--J-:..71J'L / (f.~ tf ~ -
. SpD,i!CRIPTION
New Re&id~ntial-Sin~le or
Hulti-Family per d~ellini unit,
Service Included:
A.
.~
Items
Cost
5>1:1"1
1000 sq. ft. or less . / $ as.OO 8; rtJO
Each additional 500
sq.. ft or portion ~r--L- [~;..,
thereof i 0 'S 15.00 .;t.l2.0eJ
Each Haouf'd Home, or -
Hodular 'DwElHng
Service or Fe~der .$ ~O.OO
Permits are non-transferable and expire
if vork is not 'st4l.'tedvithin 160 days
of issuance O~ ifvork is suspended for
laO days,
2. CONTRACTOR INSTALLATION ONLY
Eleetdcal Con tl'acro:: -e ,t. (( ~ z r; df-"c:.
Adot.ess 3/7e> .LUqsl 1/2'
Ci ty ~JOf Phone 61f 71 ;:;~/
' I
Supervlso'r License Nu.mber 98'o~.
Expiration Date j 0--/-::- 0 l
Cor.:Hr Ccntr. Nu:nber ..:::l I "3 S (
Exphation Cate.y--'e-~ ~ D z..-.
~ 'rJi 0:)/"1.
~ . "'-J
Or.rrle1.'S Name TOM LV I
Address f)rtJJJI'X 2--.5 7
Ci ty ~ I FL-j) Phone. 7/f 7-g-7(} t
O~ INSTALLATION
B. Services or Feeders
Installation, Alterations
or Relocation:
zoo amps or less
201 amps to 400 amps
401 amps to, 600 a~ps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only -----
S 50.00
S 6C'. 00
$100,00
$130.00
$300.00
$ ~O.OO
C. 'l'empOtaL)' Services or Feeders
Installation, Alteration or Relocation
200 amps 'or less f/ S .GO.OO .!::Jf.L.{JO
201 amps to 400 amps ' 555.00"
Over 401 to 600 amps $ 80.00
Ov.er 6.00 amps 01.' 1000 volts see lII;u above
D. Branch Circuits
Nay, Alteration or. Exter,:.ion Pee Panel
One Circuit
Each Add i t i 011&1
Circuit or with Service
or . Feeder Permi t
S 35.00
S 2.0e
The installation is being made on
property I Qvn vhicr. is not intended
for sale, lease or rent.
E. Miscellaneous CService(feeder not included)
-Each installation
Pu,np or irrigation .
Sigo/Outline Lighting
t,imi ted Energy/Res
Limi tea EnQrgY/Com:n _
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Ovners Signature:
__"Jt;t;. & CJ
l.A. . q ~
. -~~~
I 7 (f' ' 'i a-
t
5. SUBTOTAL OF ABO~~
7% State Surcharge
3% Admini~trative ?ee
TO'tAL
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DATE:
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