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~