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EL-2010-00003.tif i i APPLIC ELECTRICAL PERMIT Jurisdiction of City of Blair, Nebraska 218 South 16 Street Blair, Nebraska 68008 Fax (402) 426 -4195 E 3238 (402) 426 -4191 Application Date: 7 50 0 Permit Fee: $ Job Address V. Owner Mail jqdress Zip Phone Contractor , j Ma Address Zip Phone 2. U ('L L 3. Class of Work: ��yy NEW RESIDENTIAL O N / COMMERCIAL O R <J PGRADE SERVICE 4 escribe Work: C�C "� 7 � � �/ �'c.f�l� � WI ;� d � �r��s -- 1�+� p ©�rY 5.Current License on File O Yes O No O N/A Completion Date 40-.& 1"110601, �1 u ELECTRICAL PERMIT FEES Service Fee = (Amp Fee + $5.00 per branch circuit) Upgrade Existing Service .............$25.00 �• i 1 -100 Amp Fee .......................$25.00 Temporary Service.................... $15.00 101 -200 Amp Fee .......................$35.00 Fire Alarm System ..................... $15.00 201 -300 Amp Fee .......................$55.00 301 -400 Amp Fee .......................$75.00 Signs (each) .............................. $25.00 401 -500 Amp Fee .......................$95.00 Miscellaneous Apparatus .............. $15.00 501 -600 Amp Fee .....................$115.00 601 -700 Amp Fee .....................$135.00 Commercial/Multi Family and All Upgrades: 701 -800 Amp Fee .....................$155.00 801 -900 Amp Fee .....................$175.00 # of Circuits x $5.00 1 C & 901 -1000 Amp.. . ......................$195.00 Amp Fee IF OVER 1000 Amp 1" 1000 Amp Fee ..................$195.00 Amp Fee + Circuit Total Each additional 100 Amps ......... $20.00 New Residential: (Finished Area) Single /Two Family Dwellings Notice sq. ft. x.063 I hereby certify that I have read and examined this application and know the same to be true and correct. All Modular /Manufactured Homes ....... $50.00 provisions of laws and ordinances governing this type of work will be complied with whether specified herein or Other: (alterations, additions and modifications) not. The granting of a permit does not presume to give Receptacles /Switches /Lighting Fixtures (I 10 volt only) authority to violate or cancel the provisions of any other state or local law regulating construction or the # of Apparatus .......... x $1.00 " performance of construction. Power Apparatus (220 Volt or higher) # of Apparatus....... x $8.00 rs... / x $3.00 Signature of Uoia6actor or Authorized Agent Permit Issuance Fee.... ..$25.00 ��� e2 0 Total�� Date Comment: i WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Approved By: z�g Rev. 2008 -10