HomeMy WebLinkAboutPermit Electrical 1993-6-11
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SPRINGFIELD
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~~ir:~~:~~~ON 97477 '-.-~f'-il(~:7 '
INSPECTION REQUEST: 726:,;37.69,-: S:e'1..':"'" 0+-
OFFICE: 726-3759 - Q
3.
1. LOCWPfl OF INS:r4LLATION t-'_
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I ~~ DESCRIPTION
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n I( LP,
-.-JOB DE~~P'tION ~
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Perm! ts ar - n~-transferable and ex i e
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
\( !2,k",6 ,4 ~~p? ,
'<' \'\./ h(,\ - D
Owners Name~~ ~ ~ 1'\\\\ <<}'2--- .
Address~*S \31.j,a.'f:1u]J11n,
CiJ00G\ q)Qxttl\ Phone r&-b- fRCf)
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------~-[-----T-. --------
DATE: ~ 0 ./ ' LJ::"-<"
RECEIPT': \_ JI _. n~-""
RECEIVED BYI -J'v..JJ .I
~J
City Job Number
ELECTRICAL PERKIT APPLICATION
C\ ~D\~()
COMPLETE FiE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per..dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 40.00
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
Temporary Services or 'Feeders'
Installation, Alteration or Relocation
'10-
C.
200 amps or less --1--'$ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
Branch Circuits
abo;ve
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
5% State Surcharge
TOTAL '
2. CONTRACTOR INS~~\ ONLY B. Services or Feeders
, f)_^l ~~ Installation, Alterations
Electrical Contraco '\ Q r_).l~~'or Relocation:
Addressrf)IJPPi 0 ~C> nt';:'--. Prt.~)~
- - ~
Ci ty(l\ g,n on 0.., Phone \ of\~ \ \10
Supervisor Licen.se Number ,~,^q?.5
If). \ ,ctS..
Q. rI,~.Q ("\
( J( A )~'-I
?;-q4
$ 35.00
$ ,2.00 '
not included)
$ 40.00
$ 40.00
$ 20,00
$ 36,00
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