HomeMy WebLinkAboutElectrical Permit 12. 288 I
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41141. CO RACTOR /REGISTERED EMPLOYER REQUEST FOR
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1.41.11401-• 1 111 I..AL 111 J 1 L lj 1 AVIV
Date Rough -In Inspe on Required? 9 Yes Inspection Other Than Rough -in: 0 Ready Now
Contractor /Em Oyer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections
19/c).01). n (( (��"� ( /� 1 A L L O Will Schedule
A ress of Inspection - Street ur j i(/ / Project Description:
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Owner Name L. r J 3 / vii rr( 1 � / / om , s —
Owner Phone CP ` 11. / / 3 q D
Hume. Q
Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address
421 a q 7 o )< ,J , Ca/feu/8o, iron
Contractor /Employer Telephone Number 1 Contractor /Emolover E -mail Address Electrical Utility 550(-/y
Work: Cell:67) 3 4,K2e559 e /y7, /
Contractor s /Employer Authorized Signature Contractor License Number Job /Project Contact Person:
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A4.11 -4 Do/ 1 67 , 1 39 6161/-e..-
FEE CALCULATION
Service /Power Supply 0 -400 ampere @ $35 I Technology Systems Devices ( ) @ $ .75 Each
Service /Power Supply 401- 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and
Equipotential Planes ( ) @ $35 Each
Service /Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms ( ) @ $35 Each
PI,.c ( 1 El Dri Units @ $5 Rurh
New /Extended Feeders /Circuits Up to 200 A ( ) @$6 Each Luminaire Retrofit Modifications ( ) @ $.25 Each
Feeders /Circuits Above 200A ( ) @ $15 Each Concrete- Encased Electrode Inspection ( ) @ $35 Each
Reconnected Feeders /Circuits ( ) (3) $2 Each Investigative Fee $' /U Ur 'The Total Inspection Fee,
Whichever is Greater Up to $1,000
Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour
Plus ( ) Miles @ The IRS Mileage Rate of ( )
Rerreatinnal Vehicle Site Sunnly F.nuinment
( ) 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
feeder /circuit fee to result in double the regular fee (does not
appiY w cic�t� i� aiAi: mid Juuiiic LAILtil]K)
Transformers Up to 10 kva ( ) @ $15 Each ( ) New Multi- Family Dwellings @ $70 Each
( ) State Surcharge of $5.00
( ) Additional Circuits Above the 20 Allowed
Per unit @ $6 Each
Transformers Over 10 kva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by theC v
number of required inspection trips, whichever is greater)
Receipt# j b7L
Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 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 charee of $28 will be
added for all dishonored checks.
I hereby certify that I inspected the electrical installation herein on the
dates stated:
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Rough -In Inspection (s) Date Walt Lusian, Electrical Inspector
952.934.0229
Final Inspection Date
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