HomeMy WebLinkAboutELEC2015-4415- FUEL GAS
0
(.9
PERMIT / w � ������--'- --''
/ �--- �� -, /(// / c`�~ u�om.p�m�n� o/nE:
JOB ADDRESS: � ��� /~ SUITE
^� ��~ .�- /rwa�"* �T^ ���� 2=ff
oEoom|pnomPpm/onm �
�
�-. �
�� (04P%b��,�
p~ »~-e
PROPERTY OWNER: � �� ��=. '- CONTRACTING COMPANY:
w~� l /\��(...~
PHONE NUMBER:
AMOUNT DUE
ER
ER
03
\ ...;
rs. \
4 13'
Ee
EF)
PERMIT FEES
EACH TRADE
$ 3325
$ 49.88
$ 63.18
$ 76.48
$ 83.13
$ 89.78
$ 96.43
$ 103.08
$ 109.73
$ 120.37
EACH TRADE
$ 37.00
$ 17.50+.035 PER
$ 3.500.00+.03 | SQUARE
$15,00000+.02 1 FOOT
EACH TRAD
� $ 37.00
$ 32.00+ .01 PER
$ 182.00+ .007 | SQUARE
EACH TRADE
$ 37.00
$ 45.00
$ 57.00
$ 72.00
$ 27.00+ .009
$ 127.00+ .007 PER
$ 327.00+ .005 DOLLAR
$1.327.OU+.OU3 _J VALUATION
EACH TRADE
$ 37.00
$ 37.00
$ 37.00
$ 37.00
$ 37.00
PHONE NUMBER
BUILDING AREA
(SQ FT)
0) 0) CD CD CD CD CD C) CD
'I' CZ CD LID CD LID CD CD CD
1"... - LC) N- CD CV CD LID CD
- - -
Jilitilist
e- C) CD e- e- !... V.. T... V.... V...
1.0 0 0 LO 0 LO 0 0 0
I.C). l'-., CD CV CD LiD C)
CD C) CD
CD CD CD
LID CD CD
c5 cS
CD 0
e- LO
$ I 1 +
V- V... .C. V....
0 0 0
1000
CD CD
V..... U)
1- 500
501- 50,000
50,001- 100,000
100,001+
F--
0
<
Z<
0C)00
, s
s-'
LL
0
z
0
-J
<
ry
CD CD CD C) CD CD CD
CD C) CD CD CD CD CD
LID ul CD CD CD CD CD
<- (-6' tri <5 c5 ci
1000
LID
i t i . I 1-1-
6 1.- v- T... V.... V... V-. V...
0 QC) 0
LC) Ul CD CD CD CD CD
ori tri d (5 ci
1000
TYPE OF OCCUPANCY
I. R-3
SINGLE FAMILY, DUPLEX
TOYVNHOUSE,
NEW CONSTRUCTION &
ADDITIONS (PER UNT)
TOTAL SQ. FOOT UNDER
ROOF
U. A, E, i R-1
HOTELS, APARTMENTS,
DRINKING/DINING,
EDUCATIONAL, ASSEMBLY,
INSTITUTIONAL
III. B, F. H. M, S, U
OFFICE, RETAIL, VVHOLEGALE,
GARAGES, FACTOR|EG,
WORKSHOPS, SERVICE
8TAT0NG, WAREHOUSE
IV. ANY OCCUPANCY GROUP
F|N0H-OUTG,
SHELL COMPLETIONS,
ALTERATIONS OR
STAND ALONE PERMITS
CONTRACT VALIJATION OF WORK:
$ /5-47
V. MISCELLANEOUS
IRRIGATION SYSTEMS
MOBILE HOME SERVICE
TEMPORARY POLE SERVICE
SWIMMING POOLS
SIGN ELECTRIC
thJI
40 f
o^p,mwS DS APPLICATIONS 'rssSNms APPLICATION +^,.d"
PLAN SUBMITTAL:
z W R'
OJ W
5 N
mre cc0
W
= W N
I— o
CU W Z
pap
?cO
CO
c LL W
Li.' 0-
pOU
Q i
p
LU
LU
O Z
W W W
UHrt
Z H u)
Z2<
co
• cn I-
O W
mCD �
O2�
O u) W
c • Q
> Z J J
m Q Q W
CI 0 = ~
LU
Q
Ctoy�
5 z >-
0 r2 0 co OHOm
• LLI W
J
W M
CL
• LU _1pt
Z=Uw
W
Z V z W
Z
50x0
OTHER INSPECTIONS AND FEES:
$42.00/HOU R
H-
(..) U
Fc
H
0
?O 0
2 CO O
z z
- z
0 I Z0 a
cC W
c� 0 w Z
0
zOW ZO - Q
▪ - LU 0
- U Q I J Z
c W0 J J_
S 1- 0 0 > m Y
u Q Z < } Q W
CO E Jw OcnU
O > Q0 Z 0 Q
H
= J W S W Z d
chO
i) UC.) >U Cr
w W>- W W O
Z W d m W1 W
c u)
W U) � Q' J I-
D a-
SW CC 0 m Z
CO c 2w0 _co_,
Lu H UJ
Lu O
O W S 0 w O
Z O U 1.11
LL
LU z=> wW LU
09 W0�Cr LLLI-
H w= W z H W
0zO4d2�0
Oco J
z-• azJ
a N
O Q
F- W 0 H Z> 0 m w
W u)�wOceaJS
CL Z er CL w W o d S S 0
ZccwzQQmcnu.
ACTUAL COSTS**
S
F-
0
CO
0
UJ
Z
0
1-
U
• • • • •
•
W W LL LL
03000
�QU1-
• QD LUU
0 0 co 1--
• zw,LL
o
o Q Q z
Q • Z H z
W W 0 0
O 20ct
000
• W O
O O p W
Z
0 Z QO
} Z 0
• E) co
0 D H Z
Q
CO •
Z u-
(1)
w=00
CO H H Z
w�0
• co ix i -L-
o H Q
O w u)
H >0 Z -
UfY0LL1 0-Zr
CCwOQ
o1-
U Z Q w
O 2 w
zoO�
000<
W
O S • 0O
H
W H w Z
w0_z�
�
H
>0
w
I0c0
• LL v)
U00
• Q}O
U 0
U ~ w
2w�Z
co wOHaw
Wc• C -
• LIJ _ IX
o 100
O• �
O - J q)
w
Z
Lu
I-
• H-
= Z
2.
J 5 0
Q W >
Ct
W Z
W 0 1
O
Q U
=aw
Z
W
a. to- w
• LL w
m
U IXJ
W
O w=
o m U
_ • --1 U
CC• 0a.
-• <0
a>U
W
• la
~030
0 U
O 0
�• w
- Z
- uj
Q Z LL
W
aO
Oz
I-QO
✓ Q
LL Q
• LL
cm
USW
w�<
LI-
00Z
PRINTED NAME
i—
z
w
d�
o
N 2
Ow
S
H u)
z�
QW
Cz
0
CC OO
H2
00
Et • cCZLL
0 c
Uw
O z
Lu 0
S �
Et Li'Q
O
z=
O
Q
Lu
w
z
0
0
W
w
cC0
� (n
H
W
>0
w0
U iQ
zw
O >
IO
0
O Z
(n Q
ECw
o�
w�
SH
H09
O
▪ .e
C1)
O Q
O 0
>-
J J
DU
0Z
u)
~ 0
O 0
J
H
L
o ,5
O:\FORMS\DS APPLICATIONS - FEES\MEP APPLICATION 4-11.doc