HomeMy WebLinkAboutPermit Electrical 1997-9-4
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"'\O"t\C~" "l-\~\..\.. e.~~\~I'o~1;~%~~t as lubmitted has tho follow'n~
\, e\'l\llfi ;J lI-I'tDmnrl. 'iir.!d~fi not ,., ul,. spacific.land UM
,\-IIS~.... teO I.lI'lOe.\'I ~~el~O: II ,
225 nFTB S-.I~{"I E.O OJ?, IS ~e Zoninp \. e , ELECTRIcAr. PBRHIT APPLICATION
SPRINGFIELrl~~97q;,OO' ~I'~I" (.A7()1/2//l
INSPECTION' 11(ftl~'\7~~::n611'1' I, ,- J .. Ci:ty Job NumbeL" -j 7 'f'
OFFICE: 726~G'7!1 _ Authorized jl9n8lU'O . M' .
3. COMPLETE FEE SCHEDUl.E BELOl/
1'e WCDA'rION OF INSTA,.LLAU9.l1 \ !,
~~ \~~~ {~c1 A. Nev Residential-Single or
W^<2" () ~ (p .. .. : Mul t i-Family per dIJelling uni t"
'I';Et;!u. uESCRI. role ~, IIM/\ " Serv i ce Included:
551 A-n,\) ~. J '':l::::f'"e~1v.r- Items Cost
~e~ ~'lp ! $ 85.00
Permits are non-transferable and expire
if vork is not started IJithin 180 days
of issuance or if IJork is suspended for
180 days.
2. CONTRAcrOR INSTALLATION ONLY I .B.
Elec trical Con trac tor~ (l{)('O. \DonJ~v~
"
Address .~ 9.n G.]" 'R''f::b.- .
City fl~.L<."; Phone 2" -L.<fc.-J?s:I
SupervisoL' License Number ~o- ~ 9 (,C-Lcc..
Expiration Date 10- \ -~ ~
Constr Contr. Number [) {)l"to '<~ I C.
/:1, ~ l-Cf~
Expiration Date
1000 sq.ft. or less
Each" addi donal 500
sq. ft or portion
thereof i
Each Manuf'd Home. or
Modular.,"Dllelling'
Service!or Feeder
Services !or Feeders
Installa(ion, Alterations
or Relocation'
200 amps .or less
201 amps 'to 400 amps
401 amp's to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Rec:onnec t' Only
Sum
$ 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary' Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
1 .
Branch Circuits
Signat~ ElecXi:ian
. i D.
Owners Nam~ .~ iJl/Mg~-iQt1
.. ( I
Address(,/t", /:J.{) t1JS -;tf:(l./J I '
0_1) " I.rA ;.. 'One Circuit
Ci t~/JlH({J6 ,v;rr Pbone~-'i..t3-'()iQb5 Ea~h A?di tion~l .
/ 0'5<"005 ! CIrcuIt or Inth SerVlce
Ol/NER INSTALLAtIbtl I or' Feede~ Permit
The installation is being made on
property I ovn IJhich is not intended
for sale, lease or rent.
Owner~~~~gnature:
-.
DATE: --r;t~/ <1 J~___-------'---------+
RECEIPT 11: {Jt.: 1.L'f .(
, flf'rf'T\lEn T\V;~"rrll~ -
voJ.ts
S 40.00
$ 55.00
$ 80.00
see "B" above
,"
Nell, Alteration or Extension Per Panel
Miscellaneous (Secv.i cel feeder
-Each insriallation
Pump or ir,rigatlon
Sign/Outlfne Lighting
Limited EJergy/Res
Limited Energy/Comm
E.
S. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
,TOTAL
$ 35.00
$ 2.00
not included)
S 40.00
S 40.00
$ 20.00
S 36.00
.:x. -
$b.DD
_ISO
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