HomeMy WebLinkAboutPermit Electrical 1998-5-6
"
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
. · AUTHORIZED UNDER THIS PERMIT IS NOT
225 FIFTH S!RAJ>,T .
. SPRINGFIELD, 'llR!~~R IS ABANDONED FOR,
INSPECTION R.F.<WE~O l)~~60.
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
~l.'i.?: A~__ Q.I,'
,
j,EGAL DESCRIPTION
11\ 6,). oft; IL../
o 1 {{(fD
JOB DESCRIPTWN
I, '), " , A Ie..
Permits are non-transferable and expire
if york is not started yithin lS0 days
of' issuance or if york is suspended for
180 days.
2.' CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~/~~
Address PoJ3nX';""',\;\'i'j
~ ~ '
Ci ty.t~ ---U1 OAJ q7 'r'~Phone .3lJ3 /fc, $?/
Supervisor License Number 1.~9.;;J..s
Expiration Date/O '- 9'11
Cons t ~ Con t r. Number. ~ '1 S(-I':t:) 1
, Expiration Date q -00
Si/r;=~if;:;ectrician
Oyners NameWOr\~Crl.n L /_
Address' ~
City
Phone~l~ ,(,,(Ii
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signa~ure:
AuIhol1zed signature n ("'r-.
E~CTRI~AL PERMIT APPLICATION
City Job Number q 8"Ot:;3(/?
I
3.
COMPLETE FEE SCHEDULE BELOV
. A.
N~y Residential-Single or
Multi-Family per dyelling unit.
Service' Included:.
1000 sq.ft. or less
Each additional 500
~q. ft or portion
, thereof
Each Manuf'd Home. or
Modular.Dyelling
Service or Feeder','
.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
C.
, I t ems
Cost,
. Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
. $ 60.00
$ioo:oo>
$130'.00
$300.00
'$ 40.00
Temporary Services or Feeders'
Installation,' Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
.$ 55.00
$ 80.00 .
volts see "B" al)()"V€
Ney, Alteration or Extension Per Panel
"
One Circui t /
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00 -3 S <>-0
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lignting
Limited Energy/Res
Limited Energy/Comm
..., f _. -.
E.
, ,
D-A-T--E-.. ~-...5--.. W:-775-,-r----~~---,;-. --.--,'-~---'. 5. Sti~rOTAL OF ABOVE
lJI ::1 ~.. , S%,'State Surc!1arge,
RECEI.-.!. 1l:__.lJ-,J-'1{/?S X .' .....:. . "3~.;Allministrative Fee
::, .RECEIytD 'BY: n '.rY\ rq~r(.,o..: ~ '. > - -. ',TOTAL ' , ,
~....._-, ~~'..~ ' . ,i' ,":.~~";'..\~ ._;-;-: '~,~L":~\~:"i~'}" .,~,.::'~J..<:~~}~'.;.. --;,~@2;~:.'(_.: ,. ..' .,', ,~, :, ' .
not included)
$ 40.00
$ 40.00
$ 20.00
$. 36.00
_~ s: 0...0.
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