HomeMy WebLinkAboutElectrical Permit 12. 446 4RIp
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°' CONTRACTOR/REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date ., Roughdn Inspection Required? 0, Inspection tithe► Than Rough-in: 0 Ready Now
Contractor/Employer Must Schedule All Rough -In Inspections Contractor/Employer Must Schedule Ail Final inspections
i1_ 9 — 1 ., Q Will Schedule
AAdrets of inspection � Profit Description: ' e Add r� '
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Contractor/Registered Employer Name Contractor/'Registered MaNingAdd / J /�
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o€(50A. ec (r 3^c t 1/ Lola" WS p�c�r � lGt i MW 55 ?2
/Emptayer Telephone Number 1 Contractor /Employer E•mail Address / ' Electrical Utility
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. . .- . • kats Contractor l.( i eNumber Irk/Project Contact Penon: 13fAOl R�rne /S Crr�
FEE CALCULATION
Service/Power 'upply 0-400 ampere @ 535 Technology Systems Devkes ( ) 0 $ .75 Each `
Service/Power Supply 401 - 800 ampere 0 $60 Separate Bonding Inspections for Swimming Pools aad
$9 1 poe9ntigi Plopea ( 14 535 Each
Service/Power Supply Above 80O ampere 0 $100 Center Pivot Irrigation Booms ( ) da $35 Each
Plus f ) Eie 'cat Drive Molts it ts Each
New /Extended. Feeders /Circuits tip to 208 A ( 156 Each ,-, C> Lumslnaire Retrofit Modifications ( ) 6 S.25 Each
.
Feeders /Circuits Above 200A ( ) 0 $15 Each Concrete•Encased Electrode Inspection ( ) 0 $39 Each
Reconnected Feeders/Circuits ( ) EP $2 Each investigative Pee $70 Or the Total inspection Pee,
Whichever is Oreatar Up h2$1,000
Manufactured Home Park Lot Supply ( ) 0 $35 Each Special inspection Fee (' ) Hours 0 $80 Per (tour
Pius ( ) Mika to The IRS Mileage Rate of j )
Recreational Vehicle Site Supply Equipment
( ) Circuits Originating in the Equipment 0S6 Each Other
Street, Parking Lot, Lighting Standard ( ) 0 SS Each r Over 600 Volts - Add the combined service/power supply and
feeder /elrcuit fee to result in double the regular fee (does not
. applv to electric Transformers Up to 10 kva ( ) 0 $15 Each sign and ae log lighting) 0 70
Eac
muy Dwellings gs �► s7o �
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(mate Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed
Per unit 4, $6 each .
Transformers Over 1 O irva ( ) 0 $30 Each TO'T'AL (the fee calculated above or $35 multiplied by the / 067 nomller of required inspection trips, whichever is r} / t°
I Receipt # 6 C� 6 1
Reguests for Electrical inspection with a fee of 5258 or less a 12 months (ram the date. T owner
must have the work.tompleted within the 12 month period or submit another Rt that indudes the inspection fee for
the uncompleted work. Inspection fees do not carry over from one R81 to another. A service charge of *20 will be
added for all dishonored checks.
I hereby certify that I Inspected the electrical installation herein on the
dates stated:
- Rough -In Inspection (s) Date Want Lusian, Electrical Inspector
952.934.0229
Final Inspection Date
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