HomeMy WebLinkAbout07050017 Application
o UPGRADE SERVICE: From
to
DYES
o NO
o UPGRADE PANEL BOARD(S)
Number of NEW CIRCUITS:
o ADDmON, ALTERATION, REMODEL, or REPAIR TO
AN EXISTING ELECTRICAL DISTRIBUION SYSTEM
Number of METERS:
o NEW METER SERVICE (i.e. Fountain in pond;
Subdivision street or signage lighting; Installation of
new utility services for an area)
I CERTIFY THAT THE INFORMATION CONTAINED
ON IS FOR S COMPLETE AND ACCURATE.
94S-<.fJdS
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(Please attach maD of insDection location)
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o ROW SIGNAL, SENSOR, MONITOR (i.e. Traffic Light)
o CONNECTION or RECONNECTION TO A RELOCATED
STRUCTURE
Signature
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PRINT
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FEES:~ 1~4.00 ~r Commercial Inspections; $ 57.50 for Residential Inspections
S:Permlts/FormS/ElectrlCat1l:ppticatrcfri"'Apr 2007
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