HomeMy WebLinkAboutElectrical Permit 11. 0058 Aug. 31. 2011 8:28AM No. 5946 P. 2
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4`" CONTRACTOR /REGISTERED E LO REQUEST FOR
ELECTRICAL INSPECTION
Cate Rough-In Inspection Require Yes trisPertlori Other Then Rough -In: Q Ready Now
,/// COnt rector /EmpioyerMust Schedule All Rough•tninspections Contractor /Employer Must Schedu!eAP Final Inspections
^�^! , ()WM Schedule
Address of Inspection — Street s;rlptfon
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� ` car�,sw`47 P roject ae r~1� �ori� et�� 1 l Chvnet Narne ff a I I T
Owner. PEra n'e C! t
Hama; Cell: 952 02 9a. 673 3
COnttaCtOr /Reglstered Employer Name Contractor/ Registeredtmplayet Milling Address m
f i t Ec.'t - a IC- . 'A4 c., . I 10 34 Sir-, .2t, pr, ero- irt N/cl
Cantractor/EmptoyerTelephone NUrtber Coat etar /EmployarE -trait A Electrical Utility
Co n ra A /
Aut Signature COntrac License Number Job /Protect Contact Persq
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FEE CALCULATION 9, r 6&f:26
Service /Power Supply 0400 ampere tip $35 --' ,7' , Technology Systetris Devices C ) Op $ ,75 Foci IIIIII
-7,
Service/Power Supply 40t -- 000 ampere @ $60 Separate Bonding Inspections far Swimming Pools and _
E . of .. retitle! Planes 0 535 Fedt
Service /Power Supply Above 000 ampere 0 0.00 Center Pivotlrrigatlon Booms ( ) g $35 Each
Pius Elettrtwl Drive Units @ $5 Each
New/Extended Feeders/Circuits Up to 200 A 0346 Each
IM1 Luminaire Retrofit Modifications ( ) x+$.25 Each —
Feeders /Circuits Above 200A ( ) Gp $15 Each 11111 Concrete - Encased Electrode Inspection ( ) 0 $35 Each
Reconnected Feeders /Circuits ( ) 0 $2 Each — Investigative Fee $70 Or The i otat Insp eaten Fee,
Whicheverls Greater U , to 1000
Manufactured Home Park Let Supply ( ) CP $g5 Each Special Inspection Fee ( ) Hours 0 $80 Per Hour
Plus Miles ee The IRS Milea • e Rate of
Recreational Vehicle Site Supply Equipment
( ) Ctrcufts Originating In the Equipment 0 $6 Each 0
street. Fakir's Lot Lighting Standard ( )0) $5 Each Over 600 Volts Add the combined service /power supply and
feeder /circuit fee to result in double the regular fee (does not
a. .1• to electric si and outline ti: tin•
TrensforrttaraOrrttrIM a 0 (j_ Hewl+tulti- FarvilyDwellings $70 Oath
A t state s urcharge of Ss.ai1
6": del
/�""-- ( J Additional. Circuits Above the 20 Allowed
Per unit $6 Each
Transformers Over 10 kva ( ) 0 $30 Poch 11111 TOTAL (the fee tcutated brwe crS3S milUp1ed by the Y, ili. '
number ofre•uired Ins . action tri.s whichever is eater '
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 months from the Sling date. The owner
must have the work completed within the 12 month period or submit another REi that includes the inspection fee for 10,
the uncompleted work. Inspection fees do not carry over from one REI to another. A service charge of $28 will be
added for all dishonored checks.
I hereby certify that I inspected the electrical installation herein on the —
dates stated;
Clough -In Inspection (s) Date WaltLuthn, Electrical Inspector
• .. - ..952.934.0229 .. .. ... ........
Final Inspection Date
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Order for Payment
Date Request for Inspection Ser' Number I Nb Date Filed
7 — / 9— ( // o0L, 2 ,3 — //
Electrical Contractor /Installer License Number
Owner /Occupant County
/5/0 ( Ho( LANJ Soo //
Job Address - Street ( Cit wnship
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This Order for Payment is for additional fees associated with the above referenced Request for Electrical Inspection.
Fee Calculation /Explanation
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rLo < //MT' - 35 `''l
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Return this Order fo p8yment with your check payable to theaMMINIIIIIIMIS in the
amount of $ J 5 ---- by (fourteen days from the date issued)
A service charge of $30 will be added for all dishonored checks.
Inspect* Name and Number For Department Use Only
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Inspector Telephone Number
, - 9 3y 02�
Inspector E -mail Address/Website
Inspector ignature Q
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