BPE3084
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ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: ~:J.'- 13 - [) 9
E 3084
Permit Fee: $
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Job Address
Owner
1.
Contractor
2.
3. Class of Work: 0 NEW RESIDENTIAL 0 NEW COMMERCIAL 0
Describe Work:
4.
5.Current License on Fi e
Service Fee = (Amp Fee + $5.00 per branch circuit)
1-100 Amp Fee.................... ...$25.00
101-200 Amp Fee.......................$35.00
201-300 Amp Fee.......................$55.00
301-400 Amp Fee..................... ..$75.00
401-500 Amp Fee.......................$95.00
501-600 Amp Fee.................... .$115.00
601-700 Amp Fee.....................$135.00
701-800 Amp Fee.....................$155.00
801-900 Amp Fee.................... .$175.00
901-1000 Amp........................ .$195.00
IF OVER 1000 Amp
1 st 1000 Amp Fee............... ...$195.00
Each additional 100 Amps.........$20.00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
ELECTRICAL PERMIT FEES
Upgrade Existing Service............ .$25.00
Temporary Service.................... $15.00
Fire Alarm System.................. ...$15.00
Signs (each).. .. .... .. .. . .. .. .. . .. .. .... ..$25 .00
Miscellaneous Apparatus......... .....$15.00 :f/ tJ~:;' --
CommerciallMulti Family and All Upgrades:
# of Circuits x $5.00
Amp Fee
Amp Fee + Circuit Total
New Residential: (Finished Area)
Single/Two Family Dwellings
sq. ft. x .063
Modular/Manufactured Homes...... .$50.00
Other: (alterations, additions and modifications)
Receptacles/Switches/Lighting Fixtures (110 volt only)
# of Apparatus.......... x $1.00
Power Apparatus (220 Volt or higher)
# of Apparatus....... x $8.00
Smoke Detectors.....
x $3.00
Permit Issuance Fee................. ..$25.00
Total
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Comment:
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 1)7) . -, /z" ",j., )
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Rev. 2008-10