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HomeMy WebLinkAboutPermit Electrical 1994-12-14 . . SPRINGFIELD The following project as submitted has the folio zoning, and does not require specific land use approval, 225 FIFfH STREET Zoning !Vi. () 12./ N U ELECTRICAL PERMIT APPLICATION ~:~~i~:fiEg::~~ 9;i~~Q 1[,- IC,-H City Job Number ~<//R"79 OFFICE: 726-3759 Authorized Signature 1J {v'\. . J COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INSTALLATION . '?)/.Rj 0~i=~~.~~. A. LEGAL DESCRIPTION /~~..-z~-"24> ~~/~ . r' JOB DESCRIPTION . ,J~<. "> ~/H~ ~-a.l?~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for' 180 days. 2. CONTRACTOR INSTALLATION"ONLY B. Electrical contract~~ ~ fl<2d Addressm~~.' ~ro\~ CityY.J. Y.tp..f\O Phone~CO.CA~a . Supervisor ~icense Number ~ Expiration Date \~. \~~~ Constr Contr. Number C"'ft2...C\lo Expiration Date \ 'A . \0 .C\L\ Sign(?J~oJ::per~,e:~rician U"'72 _ . D. Owners Name ~~,r ~ 76>.A? , Address-.!L/7 hf~~,,'""" 9-. Ci ty h-l$~~e>~Phone~3.~~ OIINER INST1~ The installation is being made on property I own which is not intended for sale, lease or rent. Owners' Signature: --------------------------------------- DATE: / ~//,. /'1'~ RECEIPT II: r ' / /~_79!,~ RECEIVED BY: .~~ New Residential-Single or Multi-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 Modtiiar'Dwelling' Service or Feeder $ 40.00 Services or Feeders Installation, Alterations qr Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconn~ct Only $ 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 One Circuit Each Addi tional Circuit or with Service or Feeder Permit ~ $ 35.00 ~~~ ---L- $ 2.00 ~~ not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. . 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 'I/-- --;2. e> '> /. :2::t. ~Y. .2~