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HomeMy WebLinkAboutPermit Electrical 2002-11-15 ~...-,'tt-' . , " ,\t~1 {j~22jl'IFTH"ST1<EET :.,; _~ <~;io~ ' {:;t(~ 1f;SfRlt'lGF~~p" <?REGO)'l971J?~ '1~ . ;.;~~;t."" ~ INSPECTION REQUEST: '726.3 ' , \~';$.i~ ~~6FFic:f;;.726:3ij9;i.~ i% l});t~ ' ;~;':^^""~ > m,;~'i~~,Il~iMs'~,~,~,+W\q,' ~ ' *..'fl! ..... ;li'" ~!' 'l~m."""\..l ' : . '<1''-l b LEGAL DESfWl~N T\~" \"'~3~ \\J~ ( S mF.T - M~ Permits are -'on-tran erable and~Pire ' i[work is I1ot;started within 180 da)~ ,.. of issuance or if work is suspended [or ....s., 180 davs,U':s. " 1Z1(~ ~, . - :le:t:::~~a::~:L~~ION ~kiR\'~ B. Address'l~1! ~i 'J-~\?~ (~ ~t.\()'L City ;~~:AlN~1~Jhone 11. SUp~rYiS~~eUr 1{"' E' , '~D",r~~~,~, "~,'~, ate},'~,}'~~J,~ '~~ ~~~~~.'i!~ii1.'~--!" ConstrfCOhtf~N{jj{;bft,,~qt4i^ ~,~ '""~1W~~_ Expiration Date - - .'~~~.:,i:'_.~'. -l; ..~~~g!..,,"~,~, ~~:~. . . . -'"'02~ . P~~P..~~W~lQR,pII} iiiiialurc,of SUJlc"YiSin~eclriciau O~r~10EJ9, 600,~!I1p '.. Over 600 <ilrtpsO}1l'b , ." '\" ~ "B"ab~~e "'~." '."'..".....~" ' ~ " , ~;f.", ~.!\K~1',\)~~~L D. Branch S,i1:~!i!S, " ' . 'n,el'i;N:iri1~': ''n~;~'O'i;~''-4P}. New~)\.lt"ra.tion or fXlen~<;h ol,:, . . ~;W!~." \"<8:' ):~"' ',:;;_,~r;;-~'~ " p,4'ftJ!{~ &' '\ ~ \~; .." c " dd~cs. '" ' ,~'''; '," ,1': " ',_ ~ ~. ' One Circuit '~' 0,\ 'o.~ c.1'\""~ '< '0; 'i;, '<jf::' ~1' .Jc:......:llir~,.:.;." . _ .. . _ . .,,_.,. r- 1o.'~_--~-'__("..~,:'\; .~G ,'"' ('\"YL~,;,,,"'~"".'_a ~ ~. tl', , ,.'"~."~,~,,,,,.c.,.,.e;"",:;>"'b#';'~,,"'" ","l:,o.,"l'~'''''~ ,~~\c.\I '(,' m',',',,"~'" ,..,,',n~u~' .'~/, ,~'~~:.:, ;'" '_ I. t~"',AC~~"~' ..-,,~li?~5A~"":A, f\ I ~.J ,/\ ,;0:. ;:t\~'~~ !,~~\"l}i {\\",\,.o :, _:: :~~o.~t\""'~_~'-""';'~,*,~\.j.~~~r~ -. , i1'"'~ ',C;ity,'''' ;;.uV.,.' 7::fPhoiie';~~.'.uJACeU ..lC:. E~~'d~(Wllat Gi!;~'iiI'ror with Service",iiY":;'I!{ ~'''~::;,; 1:.....;;.;o..~,: ',', ~......',:",.-"!-.". '.k~ ~r.." .:t.J";. ':',!%~-::;.:.:"':.~' .rt\" <1.r'..\~.,.tfie\ ero1~~~\..i . '~:~"$'" OO'~t' ":A,";- ':"".~,",>, ~'. '_.1" ,.:,....j..\}7,. '"'-;'~"'" .....:...j:.~."'\.,.::. 't\.\~' ~'(\VI' \)""t;;' ,\-;>h- "oJ.,j ,J "', ..). ..' " ~;:~~~~;1:~fO\V~'ERiN.STAi;~~fJbN~:i:;~?, ,.. v.,{o '? ~1.~"~1f' ~(j'V':)",:> . >','(\';{: ;,~,t'. ", ::,~j)i',~:rhe Installation,s ,bemg, made 9n,-!:';,:" '\E~~~~~S1f&':'ncd,feedernot I~.~\~ue~!,' ';;/' ,~', " : ,; "'\::l,:' property I own wlll~h Is".~9tl~t~~,ded ,:; ~ r:;::,~~ '~~i'installauon,:,,< ;" ;eCI"\P' <' U'::,'~,~ ,;~ ';.,", ';', '., ,,:;::;'\ '-,forsale, leas,e, or rent'f.,;, '.'i.':T.:'~,;J, :' \) ~\" ~mp or IrngallQ.ll, \:9",1", :.' ~Q"' __.dC$)."O.,OO ~ ' , "" " ",'" ,,', "".,-.., .. "-\" S' nI' 0 I' ""'1"" "'e.... ~e . r$"O 00' , , . ;':~.,.>'~;~'.> . . '" ~~~', ...t.... .:j~~;.~;! ;'.~..~.;;. .:'. . r 19. p,t.m_e:L.lg!tl'~9~'Io'.~, i':'~ 'a.' ~. ~ . . ~ ' ,",'Owners Signature: ,,' ,'" .;"", , Limited Eller<!vlRes n': ~'-'.}'~O~?\"'~ ,1'$2'3,00 ' , ",' ,f., ... .. I"or:-' .''"''='~''~' '.\',.... o'{\ .'\.... - -,.. ,..,,; ':"F;:"";,-",, r Llll]lted'Ery_ergy/Comm.'u~.' o"\\"~' ,$~),OO_ , : ,:.. ,'.. ""'.',',' 'OI\C'" ' ." v~ ,"'\L" t>leS ' "," " ~' , "~': f,' " . .' ..\\\c'f\\\C\~.,('\l'.\-.~.~,'_\::-'..cO\.l._ ..,_....5...~I..::..,fj'.~\\O .. . ,. l\ImInmm Elcctr.lc'Permlt.lnspcchon 'Fcc~ls'S~=,.OO + Surcharges Op'..... w "i'.~' - . ,\~' !..~,'i" ... "\ '(Oil' r't;\' ~ JI\ ", , "A \. tll '.....,., 4. SU~:rO!,~:O!?~f.QVEeQr;,~.'!"-,) DI-~l.LU 7% St:(lc'S,uI;5liarge:< " _ ' t., .~1... S% Admirii~lJ'alifc Fcc ~D ('8 ~.loS ~~~, "I);'r'gi.~S') M~:,~'!"'\~ ..;s.."i"-v ~':1l' , ,~~t~t: ~~;~; \ft. . :'B~~ i~....;~.>:{i' ~,,,,/,q ::i'j!".~~ '~,'I'" '~': , ' : \ ..,';.,......'.: 1000 sq,[t. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder ~ $ 19.00 f A'~',,' ;it....~. ' , i~-il'e)0~~? " $ jO,OOi~_'t: """'1"" :!;.. :'~'~"~' . .'.~\.' ';:~:l.~...'I~ ..<,~~'" ""~ .,):.. ..,.;,\..<. ii~::~~~~;~~';,,, k~'1 ~...,,~...~...c~,..\ ~lr':J,;J ~;?k~#tt~;,..~; c(.2'"' , ~t1.~2,\,; ",."."'v,,~,f',, ",~ ~ """::~iiwJ;:~;:"':f4 :'l!:jiVf$125:00',s~~ ~3>.';f .,c,~.r~","+ :':i}~'...", ';-wlf.~ .'''"''''' "t$1,63.00"~",,,,, ,j',,~, ~$' -3~'fi':f'0"'0 .'~" ''!rft;.~~ ,~~.Td ~f ~~ .,:-c.r:.f.:'"!J,:Itf.~ '~''''$'''1>5'O''6O''''-''''''''' ''&_ ;[,-::1 ..;i>"'."";;~:: . .' .'..~ .~:,: . .(:. ',~>- y.~ :.~~~i:: ." " : '. " '.~. . . '~,' :::~};'~~~I~"~~:', .....,..rr.:. . TOTAL '"i'. .-: t.,. "n.' ..; ,:~ .. .. " ,. f'" . \ . . >~: . ""~