HomeMy WebLinkAboutPermit Electrical 1993-8-16
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SPRINGFIELD
zor.mg, and doe ... . 8 as the f
.pprov.~~ ~ot nq~re speclfio land l
225 FIFTH STREET ~nng ~\l,I ELECTRICAL PERMIT APPLICATION
~~~~g~~~iu:g:~~~ 9~~~~376~":o,.--{7 \I.n ? Ci ty Job Number Cl3 D1L43
OFFICE: 726_3759."'o"U;>dSignaturc ~
3. COHrLr.1r. -FEE-SCHEDULE BELOV'
1. c9~\sr.r~~';#~\ \
\0n~Q~~I~D
(~D~~S~~.crW\, L))nJL~A_L
Permits are n~-transferablel~n) expire
if vork is not started vithin ~O days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAL~ION ONLY
Electrical contract~~\QJr\~
Address BSS\.A), M~ At,~
City-1.11f1l0.--- Phone ,~8JiD
Supervisor Licen~e Number C1~~
\0, \ ,Qq ..
Constr Contr. Number lo ?Jf?f)
\~'~'1 .Cr~
EKpiration Date
EKpiration Date
Signature of Supervising Electrician
,~WA~
Ovners NameC'fh ~["Mi r l~~_
Addressgf'JA \Mtf'l1JiJJLJ
Ci ty ) Phone
ovrmJ
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~----------n--f5.-U;;-. :<t' -, . ----
RECEIPT,: 'v-f.- 'Y\ :t::S.---
RECEIVED BY:\~L)L1Jo... ~)'~ .
Nev Residential-Single or
Multi-Family perdvelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
Items C,ost
Sum
$ 85.00
$ 15.00
~' $ 40.00 ~~)
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, 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
$ 35.00
$ ,2. 00 . A.
not included)
$ 40.00
$ 40.00
S 20.00
$ 36.00
~-:~
RC,.,.I(J