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HomeMy WebLinkAboutPermit Electrical 1996-3-6 -~. .,' SPRINGFIELD ,. 225 ,u~.t> STREET 3'i')9 ,(\\ \) ~ ELECTRICAL PERKIT APPLICATION ~~:~~:fREg~~~ 9~;~:3~lj._ ~ 12 Ci ty Job Number q S\AA-1 OFFICE: 726-37~ uthorlz 13llll~!!lllUU' ;c-:> .. . CO f\~ (: \!Lt. /3. OHPLETE I'I\!,; :sCHEDULE BELOV 1. LOCATION 0.. t.;, T ON 7/ C~ ot/~", ",e;".r 0/:> H"t5'$ A. New Residential-Single or ..' ~ ~ Multi-Family per dwelling unit. \~~ION ()~ ~ Service Included: Items Cost ~B DESCRlPTIOV 1000 sQ.ft. or less /1';.:' R 5~ C"'t:v /-./.r-..J~' ~ Each addi tiona1 500 sQ. ft or portion Permits are non-transferable and expire thereof , if work is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder zoning, and does ~ot r;qul;()'~pscifl;lo~d~; approvaL 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders -::?./ Installation, Alterations Electrical Contractor ~ ~~/~r~l? or Relocation: Address /';).. "t) ~ 1....1 5 r 200 amps or less $ 50.00 _ /. ___ .-201 amps to 400 amps $ 60.00 City ~~ e::;rJ~ Phone ;?q q:-5 ~"5 401 amps to 600 amps $100.00 - a ,/ __ 601 amps to 1000 amps $130.00 Supervisor License Number 1 /~'J t-.t:: Over 1000 amps/vol ts $300.00 . j.' AI/''& ~ Reconnect Only $ 40.00 Expiration Date (7, 7 &. , C. Temporary Services or'Feeders Constr Contr. Number 9'6.?06 Installation, Alteration or Relocation ExPir.ation Date ~/1',7 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Signature of superv~isin,g Ei~ct ician Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ,/,/- ~ -, . / I D.' Branch Circui ts , Owners Name /'7/../C', .-'/<-t );)/?A~ Address \44~6, \ ~ r(t" City fi 'X:! Qt\OL-Phone 2:5tS"'Rlb( OVNER I~ALLATION The installation is beirig made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~;;-:~-~~~~~-----~~~ RECEIVED BY: ~ '. A J'l_ ) "-1" Sum $ 85.00 $ 15.00 $ 40.00 New, Alteration or Extension Per Panel One Circuit Each Addi tional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 35,00 $ 2.00 not included) $ 40.00 $ 40,00 $ 20,00 $ 36.00 Z6-- 5. SUBTOTAL OF ABOVE ~ State Surcharge TOTAL ~ ~t. - ,?" ~US ~e.B$- I .1