HomeMy WebLinkAboutPermit Electrical 1997-7-23
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~~~~~~~~:iGON 97 4 :~~;~'!;a~:;q;;;;,O ,"e,;;, ",;e ~'~:~CAL PERMIT APPLICATION
INSPECTION REQUEST: 72ffIl.t3.7.hQ f'-'M City Job Number---9./c.>9~~
OFFICE: 726-3759 Authorized Slgi1(,tuT0 ' '
? SOHP.LE'[E2EE SCHEDULE BELOV
1. LDCATION OF INSTALLATIDN
17~ A '-LeN Ave
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. '
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
10.0.0. sq.ft. or less
Each additional SaD
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
2. CDNTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contl'actor ~E rrl5 1E't.eC~ or Relocation:
.
,;
20.0 amps or less , $ 50..00.
20.1 amps to 400. amps ~ $ 6o.~o.a;
40.1 amps to 60D~i\~O -_ _ $10.0..00.
~.601 amps J6\~'OO ~O\ $130..0.0.
"O~\C~Qv~~~'Q"ain,p~t~~'tsv _ $30.0..0.0.'
~€.~~\1cBnnot~ ~~y ~€.Q rUt"' $, 40.0.0.
\~\s nl1f.Q ~~ ~p'~~QO ,
~~O~~~~~~ervices or Feeders
~ ~~~~rl~~~n, Alteration or Relocation
CO"-' o~'f ~~
~~'f '\~O amps' 'or less $ 40..0.0.
201 amps to 400 amps $ 55.00
Over 40.1 to 60.0 amps $ 80~DO
Over 600 amps or 100.0 volts see "B" above
Address
,A-ve
17#
ALl,.B#J
Ci ty ~j)~ 1..1)
-
7~7-/ 7/.5
Phone
Supervisor License Number
:z. If( S
Expiration Date
Constr Contr. Number /O~ J 7Z.
Expiration Date 2. .. 7 .. 98
Signature of Supervising Electrician
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Owners Name~ \ ~~
Address \f)4. \...~\.u\ u\\~
City ~G~~~1 Phone"11l\ll,)
DVNER INST~LATIDN
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~AT~~--------(---J----'T~~~C{fj-----
RECEIPT #: \ ..-L-l-/\ _ - R L.t...I\\
RECEIVED BY: [7 )lYA" I~
D.
Branch Circuits
Items Cost
Sum
$ 85.0.0.
$ 15.00
$ 40..0.0.
New, Alteration or Extension Per Panel
,.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
s.
SUBTOTAL OF ABDVE
5% State Surcharge
3% Administrative Fee
TDTAL
I
$ 35.00 ~
$
2.0.0. /e. ~
not'included)
$ 40..00
$ 40..0.0
$ 20..0.0.
$ 36.00.
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