HomeMy WebLinkAboutPermit Electrical 1999-7-13
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Nov-09-9S 09:50A
P_01
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srf1lN(:PIELD
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. wmg proJec as SU ml e as the following
zOning, and does nol require specific land use
approval.. It.- (
Zomng t\
Dale 11 Ih ,q~
225 PIFTn STREET
SPRINGFIELD, o~tlNri~mnature .
INSPECTION RXQURST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERKIT APPLICATION
City Job NUlIlber tj~ ()Jt 1-
3 _ COMPI.ETE FEE SCHEDULE BELOII
~~ION~,IN~LATI~
~Jit.L DESCRIPTION
/'7 0 "'> ~~ {)O{jO \ i\ll
\ '6 JO~PTtrv' C)Q, -6 ()L.:.~~..s
Ne~ Residential-Single or
Multi-Pamily per dvelling unit.
Service Included:
A.
Sum
It ems Cas t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf/d Home. or
Modular'Dvelling
Service or Feeder
5 85,00
$ 15.00
Permits are non-transferable and expire
if vork is not started vi thin 180 d~ys
of issuance or if vork is suspended for
180 days,
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
./)L' DIJ1A'o rAt--;: _ Installation, Alterations
Electt:ical Contraetot: r (Ii ~c. W/'...v~or Reloeanon:
Address \c2~P:;\--W UfJLQ..;. ZOO amps or less
/./ I' J';'O ./_ f' '/ 201 amps to 400 amps
City e::;u..o.P~Phone lP.f!)O'-c.v!;2, 401 amps to 600 amps ==
- tJ-. () 601 anlps to 1000 amps
Supet:visor License Number d- '].1 q (\' Over 1000 amps/volts
I 0 J 0 l / r"_ ^ Reconnec r Only
Expiration Date --/.....-}
5 50.00
$ 60.00
5100,00
5130.00
5300,00
$ 40,00
C_
Temporary Services or Feeders
Installation, Alteration or Relocation
. .
Cons t r Con t r. Number d.D -I f/Cf C J
Expiration Date~
Signa~ of Supervisine Electrician . .
C' ~'~HIUrS D
O..ncr~ Namb\ lJ.11 rY\ Q-d:..i 4-.y- ,; .
Cl "V'C\.
Address A'6 -5, (\- ~
200 amps' 'or less
201 amps to 400 amps -----
Over 401 to 600 amps -----
Over 600 amps or 1000-vorts
$ 40.00
5 55,00
$ 80,00
see liB" above
lIranch Circuits
.'
New, Alteration or Extension Per.panel
,')c::.~
5 35. 00 ~'---^
. r:5U
$-- ToOO Od-:-.
..L
One Circuit
Each Additional
Circuit or ~ith serv~ci
or Feeder Permit l
Ci ty ~(7 _ Phol1P.
OIlNER INSTALLAT10N
The installation is being made on
prop~Lty I o\ln lJhich is not intended
for sale, lcase or rent.
E. Miscellaneous (Service/teeder not included)
-Each installation
Punlp 01" i rri fa t ion $ 1,0.00
Sign/Outline Lighting- $ 40,00
Limited Energy/Res ----- $ 20,00
Limited Energy/Comm S 36.00
5_ SUBTOTAL OF ABOVE ~~ ~
5% State Surcharge Q-"-h '::>
3% Administrative Fe" I . r; f
TOTAL _(p...I _~"
Ovners Signature:
~ATE :c..\:-20:::cr~--_-.-::-----------
RECEIPT \: ().::>j 0.n.=.
RECEIVED ll'r:h:~C'_~~"=
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