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RESIDENTIAL <br />NEW RESIDENTIAL SERVICE <br />❑ New single family dwellings <br />(including an attached garage) <br />❑ Garages, pools, spas and outbuildings <br />❑ Low voltage systems <br />(alarm, furnace thermostat) <br />RESIDENTIAL REMODEL AND SERVICE CHANGES <br />❑ Service change or alteration $75.00 <br />(no added/altered circuits) <br />❑ Service change with added/altered circuits $75.00 <br />number of added circuits $10.00 ea <br />❑ Circuits added/altered without service change $50.00 <br />(up to 5 circuits) <br />❑ Circuits added/altered without service change $50.00 <br />(6 or more circuits) , $7.00 ea <br />❑ Meter /mast repair $65.00 <br />❑ Low voltage systems $55.00 <br />(alarm, furnace thermostat) <br />BUILDIN s . ' if <br />BUILDING CONTRACTOR: <br />Signature <br />Print Nam <br />Mailing dress: <br />I Date Application Accepted: <br />• /=L * S ? //c,i <br />HAApplications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc <br />bh <br />$140.00 <br />$75.00 ea <br />$55.00 ea <br />City <br />MULTI -FAMILY AND COMMERCIAL <br />Fees are based on the valuation of the electrical contract. <br />❑ Temporary service (residential) $58.00 <br />❑ Temporary service (generator) $75.00 <br />❑ Manufactured/mobile home service $80.00 <br />(excluding garage or outbuilding) <br />❑ Carnivals $75.00 <br />Number of concessions $10.00 ea <br />Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject <br />to possible revision by the Permit Center to comply with current fee schedules. <br />Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. <br />The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing <br />and justifiable cause demonstrated. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER <br />PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I•AM AUTHORIZED TO APPLY FOR THIS PERMIT. <br />Day Teleph o e: <br />MISCELLANEOUS FEES <br />Date: <br />stat .P.tl <br />Zip <br />Date Application Expires: <br />Staff Initials: <br />Page 2 of 2 <br />