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HomeMy WebLinkAboutPermit Electrical 1998-6-4 . SP.FIELD 1. LOCATION OF INSTALLATION --;~V fJ..LU~Jl Ih/{<;,/)/l ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE FEE SCHEDULE BELOY 7~OY').::2 A. Ne'J Residential-Single or Multi-Family per d'Jelling unit. Service Included: J,.F;GAL DESCRIPT.JON ! l() 2, "2.u / '2--/ L'-- 7- 00 JOB DESCRIPTION Permits are non-transferable and expire if 'Jork is not started 'Jithin 180 days of issuance or if 'Jork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or ModularD'Jelling Se.vice or Feeder B. Services or Feeders Installation, Alterations or Reloea t ion: 200 amps or less 201 amps to 400 amps q01 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 5130.00 5300.00 $ 40.00 C. Temporary Services or Feede.s Installation, Alteration or Relocation Constr Contr. Number Expi.~3ti:)I1 Date Signature of Supervising Electrician Diet Address 18' 0 ~(V"";t. Ci ty 5fJ/l.':::!J~ Phone OWNER INSTALLATION O\lners Name 54 G /;f' II-I./r f)e 7Lf4- IVol The installation is being made on property I O'Jn which is not intended for sale, lease or rent. Ovners Signature: ~(k;J;. ~ . -----~-----~-----~----------------- DATE: (/J~ ej, 91' RECEIPT tI: . /')10/ -I~l/ 17 RECEIVED BY: /lU //J/L.Y 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 5 55.00 5 80.00 volts see "B" above Ne'J, Alteration or Extension Per Panel Miscellaneous (Serviee/feede. -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit / Each Addi tional Circuit or 'Jith se.vice/ or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administ.ative Fee TOTAL $ 35.00 3 ) $ 2. 00 . J.. . not included) 5 40.00 $ 40.00 $ 20.00 5 36.00 j 7-. JJ /. e-s I. /I ~'!. C; ~