HomeMy WebLinkAboutPermit Electrical 6-12-18
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INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
Elec trical Con trac tor )(J):J?~ EL.~ c
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Address ~f / / /1? tlJ I r/
Ci ty <" p~ 0 Phone ;7;rlf ~/
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Supervisor License Number '1 t?-:J-3..J
Expiration Date // ~8"
Constr Contr. Number 1'.:2-506
Expiration Date
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Signature of Supervising Electrician
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Owners Name fJlCK11l 7;/ L/lrologlj-
Address /t: // J sT
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City
Jr/LC
Phone 7Y.( '/b"I?
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #: . D~lftLOU-- ,
RECEIVED BY: l.;1\, (l.~
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELO'W
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00 _
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit / $ 35.00 J5 () 0
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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