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HomeMy WebLinkAboutPermit Electrical 1995-6-19 e laning, and doe. not require apeclflc land use approval. - . Zonino LD 12- - Deta 111 -/'j-~') 225 FIFTH STRE4f..___ N.l SPRINGFIELD, oItt'(;W~l)"j'ture IVI INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 . 1. ~~~~~'~\JL LEGAL DESCRIPTION ~ hO"Q24{J[) 70-/ ~C;;OB ~~o Permits are non-transferable and expire if york is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contracto'r WAvGI< /#AMIMer EI~c.T. , Address g5'"~ .s c,.,f'<. Ci ty 5Pfi) -;-. Phone 7r.(r.(.II (,~ Supervisor License Number '5 S77 - S Expiration Date /0 _ ~S Cons tr Con tr. Number 'f"J~ 2.. 3 Expiration Date ?,-S-"'Ifc Signature of Supervising Electrician , ,'- U .t/faJ<. - ' Owners Nam~\ (X'..I"" _ Address eA~ City Phone The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~~~~-:~-----~~f~~::~;-------- RECEIVED BY: .~#'.~A .... '.:~.__:-"'.. ; ::: .::,;.-... t.:-.,.., '.-. '- City Job Number ELECTRICAL PERMIT APPliCATION q 5D\o~'\ 3. COMPLETE FEE SCHEDULE BELOlI A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost 1000 sq.ft. or less l_ Each additional 500 sq. ft or portion -I thereof ~' Each Manuf'd Home. or' Modular'Dwelling Service or Feeder .B. Services or Feeders Installation, Alterations or Relocation: 2DO 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 ~5"t:H $ 15.00 ~,~ $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 . Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less \' $ 40.00 ~ 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $-80.00 Over 600 amps or 1000 volts see "B" above C. D. Branch Circuits New, Alteration or, Extension Per Panel .- One Circuit Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 57. State Surcharge 3% Administrative Fee TOTAL . . $ 35.00 $ 2.00 not included) $ $ $ $ / 2:>5.~ cg, :is ... - ,~rr J~/.C . I I 40.00 40.00 20.00 36.00