| City of Fort Oglethorpe, Georgia | ||||||
| Electric Permit | ||||||
| 7/8/2009 | ||||||
| Property Location | Description of Work: | |||||
| Subdivision: | Fee | Quantity | Total Fee | |||
| Lot Number: | Service | |||||
| Physical Address: | Temporary Service | $20.00 | $0.00 | |||
| 100 Amp | $20.00 | $0.00 | ||||
| 200 Amp | $24.00 | $0.00 | ||||
| Owner Information | 400 Amp | $32.00 | $0.00 | |||
| 600 Amp | $40.00 | $0.00 | ||||
| Name: | 800 Amp | $48.00 | $0.00 | |||
| Address: | 1000 Amp | $64.00 | $0.00 | |||
| City, State Zip | 1200 Amp | $72.00 | $0.00 | |||
| Phone Number: | ||||||
| Separately Derived System | ||||||
| Per 100 Amps | $4.00 | $0.00 | ||||
| Contractor Information | ||||||
| Feeder & Branch Circuits | ||||||
| Name: | 0-30 Amp | $2.00 | $0.00 | |||
| Business Name: | 31-100 Amp | $4.00 | $0.00 | |||
| Address: | >100 Amp (per 100 Amp) | $8.00 | $0.00 | |||
| City, State Zip: | ||||||
| Phone Number: | Service (Over 600 Volts) | |||||
| License Number: | per KVA ($200 Minimum) | $0.20 | $0.00 | |||
| Sign (Interior Wired) | ||||||
| Type of Construction | 25 sq. ft. or less | $20.00 | $0.00 | |||
| >25 sq. ft. per additional sq. ft. | $0.20 | $0.00 | ||||
| [] New Construction [] Alteration [] Addition | Non-listed UL Approval | $20.00 | $0.00 | |||
| Issue Fee | $20.00 | $20.00 | ||||
| Property Use | Sub Total | $20.00 | ||||
| Admin. Fee | $5.00 | $5.00 | ||||
| [] Residential [] Commercial [] Industrial | Total Permit Cost | $25.00 | ||||
| Signatures | Notice | |||||
| Contractor: | THIS DOCUMENT BECOMES THE ELECTRIC PERMIT | |||||
| WHEN SIGNED FOR OR BY THE CHIEF BUILDING OFFICIAL | ||||||
| Building Official: | ||||||