HomeMy WebLinkAboutPermit Electrical 2001-5-18
"\
the following project as sub" . .
zoning. arid does not re ,mltted h.a.s the following
approval. qUire speCifIC land use
Zoninn La;i...
225 FIFTH S~~T -
SPRINGFIELD,ua<1Ri6u~ fJ74H 5~ /8- 0 (
INSPECTION ~0um'llSig~~e-3769 Kv....J
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
9'1t( Cbrn7l/' 111/ A-L
LEGAL DESCRIPTION
17D'3 Zl.{t.{z-. 031'0 I
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT .APPLICATION
. .
Ci ty Job Number Df - 000 C;s:~ 0 (
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
, Items Cost
C.
D.
Branch Circuits
1000 sq.jt. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
(J \ [I fi~ c I.. ",L' Installation, Alterations
Electrical Contractor ~) )a1P~(~cr(UC/or Relocation:
Address \ I ~f) () C <LD.../t ~+ ~ 200 amps or less
C!.. ~- 201 amps to 400 amps
Ci ty C\ lrjUM p Phone Lo e.3r-~ 1~ 401 amps to 600 amps
- 601 amps to 1000 amps
Supervisor Licenge Number It 4-U L<; Over 1000 amps/volts
~ Reconnect Only
Expiration Date
'D - D1
Constr Contr. Number Ci.~~IC)
Expiration Date l'z..-61
Supervising Electrician
k~
Owners Name C ~ ~ ~J
Address ':::;-0 k::'"",uy I ~~
I
Ci ty ~.c. &1'1. <!" Phone 6%Y - ~ i
/
OYNER INSTALLATION
The installation is being made on
prop~rty I .own whi~h is not intended
for sale, lease or rent.
Owners Signature:
DATE: OS-/~ I
RECEIPT #: 5'-l3~
RECEIVED BY: ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
I
"
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.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40. Ot'g
. ~-;
$ 40. 00-' ~ :;:;
$ 20. Offi fr1 f.~
$ ~.O@:;:..=::
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ria ",..) -< ",.
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