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E25-468 SignedJOB ADDRESS 433 COLLEGE AVE Severson CONTRACTOR Owner Kalispell MT 1 59901 Contact Phone # Fax # i Email Address Use of Building Class of Work Residential New Work Description New construction - electrical m oervtceks) Electrical Permit No. E25-468 City of Kalispell 201 1st Avenue East, Kalispell, MT 59901 Phone: (406) 758-7730 Fax: (406) 758-7739 bldgdept@kalispell.com OWNER Tim Severson PO Box 516 Kalispell MT 59903 Contact Phone # ARCHITECT OR ENGINEER Contact Phone # Fax # Email Address Required Inspections are listed on Page 2 Service aty Total Single Family 100-200 Amp Service Fee 1.00 $200.00 Commercial, Industrial, Institutional, Public and Multi -Family (3 units and up) permits are based on the cost to the owner of labor and materials plus issuance fee. The project value is listed under Oty above. Issuance Fee 1 $20.00 Total Fees: $220.00 MPORTANT - PLEASE READ BEFORE SIGNING to plumbing or framing shall be covered until such work has been inspected and approved. Separate permits are required for electric, plumbing, heating nd ventiliation and air conditioning. This permit becomes null and void if work or construction authorized is not commenced within 190 days, or if work r construction is suspended or abandoned for a period of 190 days at any time atier work has commenced. I hereby certify that 1 have read and xamined this application and know the same to be true and correct. All provisions of laws and ordinances covering this type of work will be complied rith whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local laH Signature - Please sign here 8126/25 Issue Date Required Inspections 24 Hour Notice Required (406) 758-7730 Inspection Type: Residential Temp Construction Power to Meter Main Commercial Temp Construction Power to Meter Main Electric Rough In Final Electrical Inspection Inspector: Date: Electrical Permit No. E25-468 City of Kalispell 201 1st Avenue East, Kalispell, MT 59901 Phone: (406) 758-7730 Fax: (406) 758-7739 bldgdept *kalispell.com JOB ADDRESS 433 COLLEGE AVE Severson