HomeMy WebLinkAboutPermit Electrical 1997-12-22
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Authorized Signature n h\ THIS PERMIT SHAll EXPIRE IF THE WORK .
~~~ 97477/1u I HUH/ZED UNDER THIS PERM~~C4L PIllUUTaAPPLI3CATION
......1lo.....1I11 UOUBSTI 726-31WMENCED OR IS ABANDONE~Pf Job Numbore - ( 1 ( 5 Lf
omCll: 726-37.59 ANY 180 DAY PER/On. .
"3. COHPLETE FEE SClIEDULE BI!LOV
1. LOCAT~N 0' INSTALLATION
qo.~ '11 VII'" k' nfll / I, nil . A. Nell Residential-Sinile or
I Multi-Family per dwelling unit.
LBCAL DBSCRXPTION Service Included:
1"1 rA rl~ 4:J., 0 }..C1J(:r... IteDs Cos t Sum
2. CON'rRAC7011 INSTALLATION OIlLT II. Services or Feeders
n' . . f:.' 'Installation, Alterations
Electrical Contractor,'LuJIl{(liIlJ IJrIYD(J~or J\elocation:
Address p, Q,J.1r,v 4{').,~~ 200 amps or less
201 amps to 400 amps
City >: 11/1 { n I Phone L/ '^ [1_ qn 7<6 401 amp's to. 600 amps
' --r- 601 amps to 1000 amps
Supervisor License Numbor~ Ex 7~ilE.I Over 1000 ups/volts
I ~=- r(j Reconnect Only
Expiration Cate ,( '/ ':f:K:.ID-l.:'11
C Temporary Services or 'eedees
Constr Contr. Number Cf)<.) d'S . Instlllh.tion, Alteration or Relocation
4",::/ I - G.L,
JOB DESCRIPTION . ,
to \'/{ol, t' ill / . /)y/, - l..J....1Lrt',
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Permlt. *re non-transferable and expiee
if woek is not started within 180 days
of issuance or if vork is suspended for
180 days.
Expiration Date
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Owners Hue 7,+II""{7 R /"/0'-""; ~ ,y"'\
Address P. (J. i::S(')", 7 4 ZS
City ~J/(,J fJTl" pnone~
OVNER INSTALLATION
1000 sq.ft. or less
Each additional 500
$q. ft or portion
thereof
Each Hanuf'd Home. or
Modular Dwelling
Service Dr 'eeder
$ 85.00
$ 15.00
$ 4i).00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
200 amps"CT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amp, $ 80.00
Over 600 amps or 1000 VO!ts lee "8" a~
D. Branch Circuits
Nev, Alteration or Extension 'er Panel
One' Cireuit $ 35,00
Each Addi tiond
Circuit or with Service
or reeder Permit $ 2.00
B. Hiscellaneous (Service/feeder not inCluded)
-Eacb installation
Pump or irrigation
Sign/Outline Ligbting
Limited Energy/Res
Limited Energy/COJ:Jm
Tbe installation is being made on
property I own whi~h is not intended
for lale, lease or rent.
Owners Signature:
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DAD: I t--t::?!/ Cf7
R:.vout. WI iy....~ ~rl--- '
RIlCIlIVBD 8x:U..iYv:.LIAtU'/()
5. SUBTOTAL OF ABOVE
5% State Su~charge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00 7...f!),(?O
$ 36,00
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