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PLICATION t.;t I v i;i• i't U taRAL bgVAY ELEq/ — (Jqt � nn mill-DING DEPT_ Job Address 3 o L/ L/5 7'Jii�I F/' 1/(4/ _�',t rH, F-6 �,„I 4;A y 9 pw 3 Job Site Phonc 953 g 3-_93-a/ Parcel No L/ /7� JrLot7Nfo7 Tea_ Subdivision Name r1 J l owner 0 D P/kn,;"-a4/-fl/G t Mail Address Phone /? Ici1/9e0 ' l win i& gfv44(11)•)412• SAIyl( Sql Electrical Contractor Mail Address 54„,: _..,/,;,2(I,R of SLOB/ Phone 1,,2.5 2`10'"7r/// , G��, �tJ,e3/E42/7 6Eciazi/� y r r License No. atei'l /4nUSE� 5��( Sl�i'Yl � 0 2 � J7�'� dtj.�L��Cl�f(T lC�ir Expiration Datc �j/y Use of Bldg: ❑SF Res GI Comm ❑Other ❑Multi ❑Church/School Class of Work: D New RV/OW—ration D Addition O Repair Describe Work: Type of Const: NEW RESIDENTIAL SERVICES MOBILE HOMES Occupancy Group: _Service or feeder only $40 Occupancy Load: _Single Family _Service and feeder 65 Square Feet: (First 130011'460;Each add'n 500 R'-$20) MOBILE HOME/RV PARK If service X400 amp,plan review is req'd.Fee _Each outbuilding or garage $25 _#of service or feeders =35%of permit fee+$50.Add'l plan review (First service/feeder-$40;Add'n service/ for other submissions=$60/hr. feeders-$25 each) MISC EQUIPMENT/TEMP SERVICES NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL (Includes three units or more) _#of Thermostats Amps Service or A�dd'n (First thermostat-$30;Add'n thermostats-$10 each) Service Feeder Feeder I #of Low voltage fire or burglar alarms _Up to 200 amp . . . . $65 $20 0 to 100 $65 . . . . $40 (First 2500 ft-$35;Each add'n 500 -$10) _201 -400 amp . . . . 80 40 _ 101 -200 80 50 #of Signs _401 -600 amp . . . . 110 55 _201 -400 150 60 (First sign-$30;Add'n sign-$15 each) _601 -800 amp . . . . 140 75 _401 -600 175 70 —Progress inspection per hr $60 _801 and over 200 150 _601 -800 225 95 _Swimming pool,hot tub,spa 60 _801 - 1000 275 . . 115 _Temporary Pole 35 _over 1000 300 . . 160 _Yard Pole meter loops 40 _Over 600 volts surcharge 50 _Mast or meter repair 55 ALTERED SINGLE/MULTI FAMILY COMMERCIAL/INDUSTRIAL Inspections requested before 3:30 will be (When inspected separately from the services.) made the following work day,661-4140. Altered Service or Feeders Service or Feeder _0 to 200 $65 I hereby certify that I am the owner(or _0 to 200 amp $55 _201 -600 150 authorized agent)of the above named property _201 -600 amp 80 _601 - 1000 225 or a licensed contractor(or firm's authorized _over 600 120 _over 1000 250 agent)and am making the installation or _Mast or meter repair 30 _#of circuits alteration in compliance with all applicable _#of circuits 40 (First 5 circuits-$50;Add'n circuit-$5 each) city,county,and state laws. (First circuit-$40;Add'n circuit-$5 each) Temporary Service Applicant's Signature: _0 to 100 $40 _ 101 -200 50 fl -�� C C _201 400 60 _401 -600 80 Date: 4 - 3- -9 Hover 600 90 ELEcrvIC.APP Rgvism 8126/97