HomeMy WebLinkAboutPermit Electrical 1992-9-15
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lNS?ECTYO;Q REQUEST: 726"1't:.~91"nddO-' ,. V_--y Citl Job Number -/~/f.A:..Ao
OF"ICE 726 3759 1; fO-Je..\. \......<_.~.~
.: -- "pl>'. " .. ,.:.-~".~.
to"\~",:~,\,,{) 3 'F;;O~ fi SCREDULE BELOII
1. LOCATION OF INSTALLATION t\ \ ~ ~u ,,__, ~ .
___L/L.)L! Q/;17€[tJ]4V l.~'~f.,,\,,'a l\.. Mev Resid.:ntial-Single or
~ ~ulti-Fam.ly per d~elling unit.
LEGAL DESCRIPTION '&PFilD, Service I~c:1uded:
_ i!)L2.~ 7,2tJ/l /')::),o/'LJ I terns
JOB DESCRIPTION 1000 sq.f:. or less
.%llJtJ6'i 1))i}L'1515 t:..JJT1l, Each addiional 500
sq. ft O' portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service .'r Feeder
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 clays.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor.~',.' E E'I-€Z-Telc-
Address 1'701 513" tCffJJ. R'l
':i ty _{}.tRPIIJ ~/ Phone qt 7... ?{(,:J7
Supervisor License Number :J:1g0s'
1
Sxpi ra t ion Da te
/ tJAI :J..
\ Const!: Contr. Number ,;;Jq,;J'/c; c
\~Ex!liration Date 9-9:L..
Signature of Supervising Electrician
(-_~ ~ \Lt...Q,
OVMrs Name _QU.cJ1.iJ~.e.cv:\~.w/
IW (,.f'rt, w~_Lp~
Ci ty _?fiffP_.. _Phone
OYNER INSTALLATION
Addrc!':s
The installation is being made on
property I oyn vhich is not intended
for sale, lease or rent.
O''T\CJ:S Signature:
\
)
'~
~~TE~'--"----q-I~~ I cO ------------------
RECEr PT 11: (,y \ CJ,
RECEIVED D Y: 10"-
B.
~ervices jr Feeders
Installat on, Alterations or
Relocatio :
200 amps mr less 23
201 amps :0 400 amps
401 amps :0 600 amps
601 amps :0 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
Cost
S~m
S 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
150'29-
Temporary Services or Feeders
Installat .on, Alteration or Relocation
200 amps "r less
201 amps :0 400 amps
Over 401 :0 600 amps
Over 600 lmps or 1000 volts
D.
Branch Ci 'cuit~
$ 40.00
~ 55.00
$ 80.00
see "B"
above
Nell, Alte"ation or Extension l'er Panel
One Circu.t S 35.00
Each Addi : iona1
Circui tlr vi th Service
or Fcede: Permi t 7[i' S 2.00 /5b.- cv_
E.
Hiscellan,ous (Service/feeder
-Each insallation
Pump or i 'rigation
Sign/Outl ne Lighting
Limited Elergy/Res
Limited E lergy/Comm
not included)
$ 40.00
S 40.00
S 20.00
$ 36.00
0<'
SUBTOTAL IF ADOVE ~ OC>~lSOO:d.~~,
5% State Surcharge (o.8D-:,.I'j-' I)
TOTALt' , ":?;:1,~} ,:30- -~--~--~LQ-'~S
&;:. A/tII".PA-IJ)~ 7(',76
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