HomeMy WebLinkAbout0099739-Electric (add kitchen receptacle)ELECTRICAL PERMIT APPLICATION
in form~tioI~ after bold categories must b(: providod.
Incomplete ,3pplications wi]l not b,~, proc(;~sned.
DATE 02/07103
JoB ADDRESS 8_31 SNELL RD_.
OWNER _9 G M SALZIE,DER, CONTRACTOR
CON?RACTOR CUMINGS ELECTRIC INC.
JoB NO. 5719
CHECK ALL AP[~LICABLE
USE CATEGORY: SINGLE FAMILY[]
COMMERCIAL[]
SERVICE:
TYPE:
NUMBER OF
AMPS
DUPLE×r~ MULTI-FAMILY[~ RENTAL[~
INDUSTRIAL~
NEW [] CHANGE [] TEMPORARY [] NOT APPLICABLE []
OVERHEAD [] UNDERGROUND [] NOT APPLICABLE []
FIXTURES . SWITCHES . RECEPTACLES ~ CIRCUITS ~
VOLTS--/ PHAS~ _
CHECK A~L APPLICABLE
RANGE [] WATER HEATER []
DISHWASHER [] FAN OR BLOWER []
ELECTRIC SiGN [] MOTORS []
GARBAGE DISPOSAL []
FURNACE []
GAS PUMPS []
DF..SCI~.%PTI. O14 OF ALL WORK ]B~:ING DONE A.~DD KITCHEN R,ECEPTACLE__S
DRYER []
A/C []
OTHER
VALUE (Including labor a,d a11 ma%erials including light fixturos) $200.00
PE~T ~E~
~5TER ELEC~ICI~ RICHARD J ~NZEL
Submit payment with application. Failure co pay within 30 d.~ys will resulL ~n
fcc~ b(~ing doubled or $100.00 plus the normal peri, it fee, wh%c~% {~ver is greoter.
OR
'~. 100-0750-25'~ 5-0C:t}00
I'~ 89L0 ~EL OE8 I93 ~Et,:80 E0 LO qa.::l