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TOTALP6<x*r-aa
<br />l
<br />! R&ridenlial E lfttustial NO.EACH
<br />R6!. Holsls, irotol8, Apt. Sq. Fl 03
<br />.02Gr. or Cuport8 Sq. Ft.
<br />.50 <- eoReceptaclesio
<br />to .50 60.
<br />\SPlYtO
<br />Lyn
<br />U
<br />IOBAODNESS309 ru (tonor)
<br />"573-3'ttraTh.oco
<br />'n's,ftrc- s,^,'tzuro
<br />/huoz;
<br />Switcies
<br />.1().50 lo"Fixturcs
<br />20.00Air Conditixrs6Edr
<br />Appro\Ed Factory WrBd Unit
<br />Lisl 5.00
<br />Busrtays, sp€cial r@*ays, under ioor
<br />ducl, trclley or plug-in busrays €a. 110'or
<br />frec,ton thelgoi
<br />5.@
<br />10.m
<br />.50
<br />Firo Sgnaling Sys,tem. Minimum fee
<br />otjtlet, srnoke or heal sensor
<br />Lighling Slaodards witrl One Lamp
<br />Eadr Add'l fxtulB on same stenda.d
<br />00
<br />00
<br />5
<br />1
<br />Owtl.-EldarD.cffill
<br />I rrrlby.tlfr ,r.r I in.t.6pl irdD itE Cdtteto.! La.i. t* t nr ldl@l,rg r...on ls.c
<br />,03! 5. 8!.r!... r.d Prcr.!.ors Co.br Arly crly o. coqnq whEn t qrr.r ! p.,Dn lo @.{nDcl.
<br />alr.L imo.o!.. &m.t$, o. r.o.i. .ny lnutur., pno. lo itt '6rr.nc., .l!o r.q!'B! th..pdi6nl io.
<br />rlch p6mii t iL r dgnr.d lt.tom.nr rn r h. i. laorn!.d p{6u.nl lo th. p.o!roa! ol lh. Cont.c_
<br />ld ! L5n- t * lch.or..9 {cdrxrrcfi *ln S-to. 70OOl ol O,vito.r 3 ol ns Bsr.ds &d
<br />,tol...E rco&ldrh.rrra.r.,r!crttErl.miodth.b.tsio.ol..lbg.d.rmdb Alryrol}
<br />&. ol S*d6 7O3l ,6 br iny .prlEmr ld . o.mir 'ldl.cr.
<br />nr. .od6..r lo . cdi p.i.try ol nol
<br />60.. lh.n ,iv! hunddd dohrB I l600r
<br />E S*rldr lO,qe 1,.!orB ol ttE p.!g.rly, o. my.6Cloy..!Bth *!C.ss rh.k sb co6
<br />0.ns6to6, sll do ,r ro.t, md u. n,EtuD '! nor .r..!&d o. olrsrsd td t h.
<br />E S.clin 7C,a48 l, .! n.r ol lh€ prop.tty, .m .rcluliwly conrr.cln! wllh l..n$d co.r_
<br />rdo.3 to coo.fiEr t'l p.oFcr
<br />o.r.- Ow6r (S|9 I
<br />50.00Maintenance Permit (annual)
<br />15.00
<br />35.00
<br />75.00
<br />Servics Melers
<br />Up to ,lO0 arnp6, par metor
<br />O/er 400 amps, per meter
<br />Owr 1200 amps, p€r metar
<br />Signs and hEh @ential gas tubo lightirE 15.00
<br />35.00SwimmirE pods, fountains, spas
<br />15.00Srvit lboard, motor conlrcl cenlor or sub-
<br />pst€ls
<br />,, E8dt
<br />Tempora/y conslruclion mster servic€
<br />E5, 0,"o,** ,o.
<br />25.00
<br />5.00
<br />lh.r I .m lE..$d und.r lh€ prosro6! ol Ch.pi.. 9, Dv'Do 3 ol lh. Eurms
<br />Cont6cto. U.. Only
<br />ctT "r^ry
<br />a (
<br />6c
<br />)-st26TPtc
<br />Co&,.^d mylic6.$ r!
<br />'n
<br />lorlloc. r.d.t,etC,
<br />J-po
<br />2
<br />4
<br />.00
<br />m
<br />Temporary construction lighling
<br />500 lamps or less
<br />O\€r 500 lamps
<br />Iime clock or ph(,lo glgc{ric cell
<br />I 2.@
<br />5.@
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />J
<br />PC)\ ER APPARATUS: Generalors.
<br />rnobrs, translooners. rBctifers, h&sldal
<br />ho6lirE, cookirE, or batirE €quiprnent
<br />and othor apparatus as follor^rs:
<br />Up lo and idudirE 1 HP, KW, KVA
<br />o\,€r 1 and nd ovBr 10 HP, KVC, KVA
<br />O,€r 10 arld nc,t o/er 50 HB KW KVA
<br />O/er 50 and nol o\€r 100 He KW KVA
<br />O/er 100 ard not o/er 5fi) HP, KW, KVA
<br />O/e. 5@ HP. KW KVA
<br />Itot r Co.lgaiaadoi o.choo
<br />lh.Gbv!t trm rh.l l h.w..6nfE.r. ol cfi$nr ro $ll-in$r., o.6c.drlrdl. ol work.rt Comp.6
<br />$rro l.sr!E. Conr.d copy ,3 hl.d urh rh. C'ry bu'ldin! rn$..16 rr.o.nrunl
<br />O.t Eprl.- \Mid 8Y (s'q.l-
<br />AmrE6n'ls'g I
<br />as-Subtotal
<br />Penany Fe€ (when applicablo)
<br />Violation Fse (50.00)
<br />(minimum 20.00)Plan Check 65'/" of subtotal
<br />Becsipt I'lo.Pc lt Dale
<br />Plan Check (Adjustmenl)
<br />lssuance Fee 10.00
<br />7\-TOTAL PEBMIT FEE (mlnlmum $35.00)
<br />Er,Ho.r
<br />Ih'.p.r r.n r.r!.6bYI'mrt udmdb.co.Enuiltndvoddrh.Er.uhdrodbrlh'tp.6nB
<br />rcr @m.rc.d wi$h l@ d.y! t.om th. dllt ol lni! p.rm o. wo.t .olhoE6d bv lhl. F66rl r!
<br />e.p..d.d d.b.ndo@d tl6ny tm..fi.l rh. work ilc@m.nc.d d. p.nod ol180 t.v! An w
<br />p.mn dl b. obrlrl.d ,rsr b.lo.. rxh wdt c.n b. 6.dnm.hcod
<br />Argac.nt'. O.cffi.!
<br />I 6nity rn r I h.v6 E.d rhi[ophclton lnd ri.r. thlr tlE ibo!. intom$on is comcl I 69r.. lo
<br />cdnpry witn ar clry od..@! md rl.l. bwa 6Ltnc ro boadi^g conrlructo.r, .nd haabv .ulhc
<br />q. €r.rnl.ri6! ol rh. c.tY ro 0l, up@ rh6.bo\l}rrtnfi5.d to!.tlY lo. i.r9.cro.r 9orpo-!
<br />lrnE * tD 1D l:emrrc. I 26L20
<br />v'rLl^lPEiMtrissuEoaYrs{,
<br />tilB/1O/9O gz4ff a {13
<br />VALIDATION IOFFICE UST ONfY)
<br />(accouN r ,11-413r
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWNITI OR PRINT IN INK)
<br />o o
<br />Baenezur A rTr'"APPLICANT FILL IN AREA BELOW
<br />tDa
<br />Iz
<br />0a,
<br />tuo
<br />*O
<br />b
<br />s
<br />N
<br />t-
<br />t
<br />Distribution: l.lnspeclorCopy 2. Fil6Copy 3. FinanceCopy 4. ApplicsnlCopy c.s '613
<br />ctr" o, so"n lrul
<br />206 W. 4th Sr
<br />67 -2738
<br />fr0Lt-
<br />rurn Pna
<br />l6rtly 6ar n nra Ca.lrlrrc ol rr 6ll ld whan dq{m'l is,&.d, I !h.t
<br />^ol
<br />.6010,.nY
<br />;'Hffi6',tr#p-v'su);l2p'*-
<br />?aorb. To Ae9lc-n:
<br />ll, .ftd fr.ling thb C.nificlL ol Er.Dgrid. you tnouE b..om. sbjrEl to lh. Wort.r'l Comp.n-
<br />flio. ],eibn! o, dl. Lrbo. Cod.. vd tun ldlhsth c6.ndy wilh ,rch ,.@j!bn! o. lhr! p..B'l
<br />.h.lb.ddn dcEr.d
<br />*,9 :! I'b,,*-,.^*.,*, [}3'0.o-4A
<br />3.m
<br />ajtD G
<br />-
<br />PEiMIIto vERlflEO EY ls'r.l-tL
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