HomeMy WebLinkAboutPermit Electrical 1997-7-14
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225 FI~.B.......~~O 0 mnO. ZOning~r ELECTRICAL PERMIT APP. LICATION
SPRINGFmrJ~. -<}.IW~)Rf:..Wr..77 t?7 '"
INSPECTI~~ST: 726-376fJJat'Q-Ib-1/1- City Job Number-f /OW__\
OFFICE: ''726-3759 ' , n M
Authorized Slgnature:3. 'C<1nr L.e.li .rEE SCHEDULE BELO'W
1. LOCATION OF INSTALLATION
'/2 'I*;' . (llJm <LL/:fi ,)-t
. . A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Ilf~cr~T;Ob() l DC)
JOB D~SCRIP1ION. . 1 ^ Ar~Oo sq. ft. or less
5-vvv71 (J /I/I\(VA.(}JL + '7 ~cr-CJV\-(,WJ~ach addi tional 500
~ - U sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
( <,n. I · ,Installation, Alterations
Electrical. Contractor ~ (~or Relocation:
Address8?311.i_;HJ.;, ~~lA~ r2d: . 200 amps or less /
r '\ 0 -, '- /fJ . 201 amps to 400 amps
City ~, rJ Oc Phone ?YI01~-/ 401 amps to 600 amps
I . 601 amps to 100a amps
Supervisor License NUlber 3779.S Over 1000 amps/volts-
r / q Reconnec t Only
Expiration Date~ 1 / '
Cons tr c~n tr. Nuibe) 7 ~ "1v-f
Expha tion Da te /0/ J -/1 ~
, (' I
Signature 0 Supervisi6g Electrician
tv' ^J~\., !1~
~\'"J'-9 /:: D Branch Circui ts
O~ners Name 1'0 V'ft 0J 0(::) () l)R1ZD .
~ ('
Address L! jYfl^ ~ -
c./ . Phone 7>-1/ ~ :s2-}?5
,
City
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
I J
---------7- 1-~~-~--------------
DATE: . _
RECEIPT #:. . X' _I..
RECEIVED BY: "-. 11./ A-..J
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
SO. lib
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT. less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
E.
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
1'1.0'0
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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