HomeMy WebLinkAboutPermit Electrical 1994-5-6
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The following project es submitted has the following
zoning, and does not require specific land use
epproval.
~~~:~~:~~~ON 97477 Zonino U>L.
INSPECTION REOUEST: 72BO\~769 :::>-l..,-"f~
OFFICE: 726-3759
1.
~~~ OF"
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor "/w,,/,.-:.J t"L.....c.uK )!'.-c.
Address 4).. -:S.:)--,,?' ~'--~..-:?-o'd" #./y'
c /
Ci ty .v--;C,,~'c,c/.t:'L,O Phone ..f76" ~'5 ?y,;;--
Supervisor License Number / Y7 / S
Expiration Date
/cY- ?.:5
Constr Contr.. Number /:?'I'7;;z..
Expiration Date /'/- 5"::>
Sign~e of Sup~sing Elect~ician
~ /7J.6.
(./ ...... -~
Owners Name T" f")l
City OSr~Phone40~, rJS-
. 0 INSTALLATION f) 9.4~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~--'-~~1----~~~~------
RECEIVED BY:~_" n './ .
ELECTRICAL PERKIT ^PtIxWo/t n I "
City Job Number \"'V'H )LtLAV
rnMPIFTR~EE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
It ems Cos t
ffi
4S
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion "
thereof ,') $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less \ $ 40.00 AD
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "8" above
D. Branch Circuits
New, Alteration or Extension Per Panel
'One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation ,
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE'
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36 'CD
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Job No. ~[)1fJp
SYSTEMS DEVELOPMENT CHARGE
WORKSHEIT
NAME: h~O(\Q:<t ''\'\\\1\tt ~ \\C). V PHONE: 1L~ L\-lf)---1.21~
ADDRESS: ~\ ~f\j\\()~\ ~')')..~-IDs STATE:ffi ZIP ctffiD
LOCATION OF IilROPOSED BUILDING SITE: ~
Street Address if ~nown: ?fJ~ \ 1_ (\(\ 1 ['\1 G ~~ 0 n-j-
Platt Name: \-1~ Y'_\\ (l?2t q i ~ tl X Tax Lot Number: ~::)S~ o:D?<rr)
1. DEVELOPMENT TYPI; (Check appropriate dwellingts). SDC Calculations and dwelling type
definitions are on the back.}
A. Sinl1le Familv - Detached
--'- Single Family home
NO OF UNITS
Manufadured home not in a park
X $400 PER UNIT ~. $ 4l{)~
B. Sinl1le Familv - Attached
NO OF UNITS
X $370 PER UNIT =
. $
C. Multi-Familv Aoartment
NO OF UNITS
X $277 PER UNIT =
$
D. Manufadured Home Park
NO OF UNITS
X $280 PER UNIT = .
$
WPRD SDC
$4m~
$~
$4nO~
2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit
approval. See SDC Credit Worksheet.
3. TOTAL WPRD NIT SDC ASSESSED (If SDC reduced for Credit)
~~~$9
City of Springfield
~I (e I~
Date