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HomeMy WebLinkAboutPermit Electrical 1994-5-6 .~--. '= 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" \~~~N 1'J, .~ . J1M":)Er \, C'JQR.-D~l'T:r.o!!l (). ~ _ KLD}.u of)(b 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 \:~ \"'-~ -. . o Y..'!i!I!!!!~!~!!!;l 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