HomeMy WebLinkAboutPermit Electrical 1993-6-3
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SPRINGFIELD
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225 FIFTH STREET h ELECTRICAL PERl1IT APPLICATION
~~~~~g~:;>iu:g::~~ 9~i~,;~Z69Z0"~'I-~J '/If"lV_~_- Ci ty Job Number qdf)ffi
OFFICE: 726-3759 ' .
.1. ~~1;IQ~~jt?LAI1~~~~~~;:{)~U; /) '1 '3.-COHPLETE-FEE SCHEDULE BELOY *
~/I..~( ) ~ If ~ A. New Residential-Single or
. I Multi-Family per'dwelling unit. .
-Lr--r~~~250N ~) Service Included: Items Cost
ri /LO ~-r
s erable and expire
if work is not star within 180 days
of issuance or if work is suspended for
180 days.
N\ ~ ~~CRIFTIO
~. ..
2. CONTRACTOR INSTAL~YON 01i\'Y_ B.
Electrical contract~.uJ\it)l)L
Address,ASS l. 'r~f{"\~ ~
City D~ Phone':1t8-I~
Supervisor LQcen~e Number~ ~~.
Expiration Date \(), \ .Cf6 ..
Constr Contr. N~mber:l ()(?)\t=\~
(a -cQr") -~
Expiration Date
Signature of Supervising Electrician
U)~
Address;:QlD _ _ UilLfl-4IJI lp
City \..~ Phone~- ~(;ji)
o
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signa tli"re.:
-----------r-------~-------------
DATE: n, ~, /1./91
RECEIPT .: -. 7J _. ' F-+7J
RECEIVED BTh 1\1 uc--' -
.. '---'" ) .
:,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling ~
Service or Feeder ~
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
Sum
$ 85.00
$ 15.00
$ 40.00 .B!'J
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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
$ 35.00 .
$ - 2.00 ' ~
not included)
$ 40.00
$ 40.00
$ 20.00
$.36.00
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