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HomeMy WebLinkAboutPermit Electrical 1993-6-11 . t .. SPRINGFIELD " . . , ~ LI ~~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-'_ ,/J{O'--\........ r= l--\r\ m<J.\"l'('\\1f'\ I ~~ DESCRIPTION ~~ I;::::.{Y) n I( LP, -.-JOB DE~~P'tION ~ . Lo AY\ ) \. Yl1 !.. \.,Qj? 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 _41JPc2 ~'Z2)) "