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809 N. Broadway1st FloorMilwaukee, Wisconsin53202-3617: (414) 286-8211Fax: (414) 286-0251627380-949325Expedited Solar Permit Building and Electrical Permit Photovoltaic System 10 KW or less1 & 2 Family Dwellings No refund on minimum fee permitsWork is not authorized unless permit is validated at rightLocation (Exact street address – please print)Use of buildingCost of jobCodeCTClassProperty OwnerAddressStateZipPlease printElectrical ContractorNameFirm nameAddressPhoneCity/state/zipEmailSignature Master #State Electrical Contractor # Job Description - Photovoltaic Total size of Array: KW sq.ft.Size of Panel: Weight of Panel: lbs. Description of Work FORMCHECKBOX Worksheets attachedFees FORMCHECKBOX Solar Electrical Permit (6800) Minimum Fee: $70.00 $70.00 FORMCHECKBOX Feeder or sub feeder change: Up to 400 amps ($35.00) 401 to 600 amps ($40.00) $________ FORMCHECKBOX Outlet for fixture, lamp, switch, receptacle, etc. $1.00 per unit _____ # of units $_________ FORMCHECKBOX Total switch capacities, Single phase/Multi phase Up to 400 amps ($70.00) 401 to 600 amps ($75.00) $_________ Subtotal $_________ 1.4% (.014) IT/Training Surcharge $_________ $5.00 processing fee $ 5.00 TOTAL $_________ When you provide a check as payment, you authorize us either to use information from your check or make a one-time electronic fund transfer from your account, or to process the payment as a check transaction.I attest that the above information accurately describes the property and the proposed work to be performed on it. I agree to comply with all City of Milwaukee and State of Wisconsin codes applicable to the occupancy and work stated above. No asbestos project, as defined in Ch. 66 of the Milwaukee Code of Ordinances, is included in the work performed under this permit. I understand that any falsification or misinformation may result in penalties prescribed in the Milwaukee Code of Ordinances.Permit checkApproval conditionsTaxkey: Zoning: Historic code: FORMCHECKBOX Work requires SAC approval. Granted: FORMCHECKBOX Work requires historic COA. Granted: Permit issued by:Electrical Inspector PhoneRvsd 3-2014 ................
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