HomeMy WebLinkAboutPermit Electrical 1995-11-15
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zoning, and dOGS not require specific land u
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"225 FIFtH STREET ZOflin9 HI ELECTRICAL PEIOO:T APPLICATION
~=:n~::.' 9~~~~3f~~S . City Job NulIIber_ q 5rC,4
OFFICE: 726-3759 Autrlorized Signature_ ,~. .' '
3. 'GUMP~t~ ~~t ~CHEDULE BELOV
1. LOCATIQ, OF INSTALLATION .
.jC,OO e()I??j1?e~r.;.L,4/{. A. NevResident1al-Single or ,
,. " (tJRGbtlll! (!.13j)1Hf- \ J'ulti-FIlIllUy per dvell1ng unit.
ri:O~~~'~~I~c:w/) " ,'-J Servi~e Included: Items' 'cost
I J )/~2~ D~~j)ONS 4 "',-,, I;. _ 1000 sq.. ft,.u or less $ 85.00
~~~~ r~~ff~ t?/~ Each additional 500
.
~. 0.. . sq. ft or portion
, Q ~ \ Permits al"e non-transf~rable and expire thereof
~D if work is not started 'within 180 days Each Manuf'dHome or
of issuance or if,vork is suspended fot Modular Dwelling ..
180 days. Service'or Feeder
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S"AIHCt="ELO
,
Sum
$ 15.00
.
,.,. ..
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Electri~al Contractor L~R. Brabham, Inc.
Address 68 West "Q" Street
City Springfield,
.
Phone 747-6638 ,
Services or Feeders
Installation, Alterations
or Relocation;
200 amps or less /
201 amps to 400 amps --
.
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
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$ 50,.00 StJ.,
$ 60.00 .
$100.00
$130.00 .
$300.00 -
$ 40.00
Supe~visor License Number 14735
Expi;ation Date 10/1/96
Constr Contr. Number 08699
Expiration Date 12(18/95. _ _
x
e of Supervising Electr ciao
/
arne John fA JjtLk~
(!LJ /JJ /?7 eJe etll-t..
I'hone 1'16 . o?5CJoZ
c. Temporary Services or feeders
Installation, Alteration or Relocation
200.amps o["-les$. - -, -- - $ 40~00'
201 amps to 400 amps - $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Owners
Address 3&O{)
Ci ty .s jPlf !/J ;
New, Alteration or Extension Per Panel
OVNER INSTALLATION
The installation is being made on
property I ovn vh1ch is not intended
lor sale, lease or tent.
,
One Circuit
Each Addi tional
Circuit or vith Servic~
or Feeder Permi t ..::5
$ 35.00
$ 2.00 '6/JO
'- r~~------
OA~;;---------~-,- \\. \ J' .
RECEIPT t: 'V., , \ .
,RECEIVED BY: ~ \}.Jl ~ .
" " .' ' V\
5. SUBTOTAL OF ABOVE
Sr. State Surcharge
3% Administrative Fee
TOTAL
E. Hiscellaneous (Service/feeder not included)
-Each installation' ,
Pump or itrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res - $ 20.00
Limited Energy/Comm ~ $ ~6.00 .
S~ d){J ,.
0/,30
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Owners Signature:
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