HomeMy WebLinkAboutElectrical Permit 12. 082 PRIp
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CONTRACTOR /REGIST EMPLOYER REQUEST FOR
I ELECTRICAL INSPECTION
Date Rough -ln Inspection Required ?g Inspection Other Than Rough -in: ady Now
a Contractor /Employer Must Schedule All Rough -In inspections Contractor/Employer Must Schedule All Final Inspections
���1 Z 0 Will Schedule
Address of Inspection -Strg t J Project Description:
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Owner Name i l f ' Bak - as r2 /. t ly
30 .qk wrij •
Owner Phone i �7i
Home: 9r r 9 22 a Cell;
Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address
P Eted4t,ea C'efoit Vci c f 3 !2 5 Fzylirt�c ° Woni4 e// .9 '7
Contractor /EmployerTelep�tone Number Contractor/Employer E-mail Address Electrical Utility
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Work: e il: BIZ z��.3 G . if i ec l cu (4.CirttiitC& v\
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Contractor /E yer Authorized Signature Contractor License Number ! Job /Project Contact Person:
ii - -• EA- oo' (OC9/ C� -i- br^iks-Jiieis .
FEE CALCULATION
1
Service /Power Supply q -400 ampere @ $35 Technology Systems Devices ( ) @ $ .75 Each
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Service /Power Supply 101 - 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
, ,Equipotentlal Planes (J @ $35 Each
Service /Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms ( ) @ $35 Each
_ i plus ( ) Electrical Drive Units @ $5 Each
New /Extended Feeders /Circuits Up to 200 A ( 0$6 Each 1z. 00 Luminaire Retrofit Modifications ( ) @ $.25 Each
Feeders /Circuits Above 200A ( ) @ $15 Each 1 i Concrete-Encased Electrode Inspection ( ) @ $35 Each
Reconnected Feeders /Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee,
Whichever is Greater Up to $1,000
Manufactured Home Park Lot Supply ( ) @ $35 Each ppecial Inspection Fee ( ) Hours @ $80 Per Hour
I Plus ( ) Miles @ The IRS Mileage Rate of ( )
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment @ $6 Each Other
Street, Parking Lot, Lighting Standard ( ) @ $5 Each Over 600 Volts -Add the combined service /power supply and
F eeder /circuit fee to result in double the regular fee (does not
■ apply to electric sign and outline lighting)
Transformers Up to 101Na ( ) @ $15 Each ( ) New Multi - Family Dwellings Cal $70 Each
1 ( ) State Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed
I Per unit @ $6 Each
Transformers Over 10 kva ( ) @ $30 Each jrOTAL (the fee calculated above or $35 multiplied by the 7J 7 576,0 bomber of required inspection trips, whichever is greater) /
Receipt # (a'5 2
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 1.2 months from the filing date. The owner
must have the work completed within the 12 month period or submit another REI that includes the inspection fee for
the uncompleted, work. Inspection fees do not carry over from one REI to another. A service charge of $28 will be
i added for all dishonored nored checks.
I hereby certify that I inspected the electrical installation herein �n the
dates stated:
Rough -In Inspection. (s) Date I Walt Lusian, Electrical Inspector
952.934.0229
Final Inspection ! Date
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