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ELECTRICAL PERMIT APPLICATION <br /> <br />It;OR CITY VALIDATION <br /> R~ivmlby:. <br /> Dat~:. <br /> <br />Please oomplete all Sections, 1 through 5 <br /> <br />1. LOCATION OF I.NMTALLATION <br /> <br />2B. FOR OWNER I~ISTALLATIONS <br />P~p~y Ow~r ~leam prim) <br /> <br />3. PLAN REXF/EW SIgCTION <br /> <br />We will promde plan review service if you complete <br />Secdon 5B aad ~ubmit ~o (2) sets of plans and <br />pecificadons wJrh ~his application, <br /> <br />amps or Ica <br /> <br />b) Thg [~c for branch circuits <br />E~ch addklanal branch elmuit <br /> <br />$35,00 __ 2 <br />$~0,00 2 <br />$80.00 2 <br /> <br />$ 2.00 <br /> <br />$35,00 -- <br />$ 2,00 <br /> <br />$40.00 .5zo, ~2 <br />$40.00 , 2 <br /> <br />$35.00 <br /> <br /># of Labcla_ N/C <br /> <br />5, FI[E$ <br /> <br /> A~. Add 5% sugc, h~t'go <br /> Subtotal <br /> <br /> B. Enter25% of'lineAl tbr Plan R~v~w <br /> R~cipt No. <br /> <br /> <br />