HomeMy WebLinkAboutPermit Electrical 1999-2-5
:
,
e, 0 owing project as submitted has the followln
zoning. and does not require speclfic'land use g i
approval. C(J I~V "et::
Zo'}i'l,g l,"' . mil:: PlOO'A1T SH
Date ~'S. fA. .Ill 'TIJ"DI"~~ ALL EXPIRE IFTHE WORK " I .
22SuiUiliiill f'f)~A!AlO' --- UNDER THIS PERMIT ISELECTRICAL PERKIT APPLICATION
SPRINGFIELD. 0 1f'~'::'ORISA8 "VI .
INSPECTION REQUEST: 726~3769\ ~A". r ~fnD ANDONED FOfCity Job Number 1'1'D/? y
OFFICE: 726-3759. i " J . .
3. COMPLETE FEE SCHEDULE BELOI/
1. WCATI9~ OF/INSTAtJ,ATIONJL, /JI:<
lOll /f1f1?/(JtIJ f(~/l-i) 71-/(/;...) . A.
, LEGAL DESCRIPTION { DltibOJ177W-=CJ)
1703 ']..1.- tJ1 0 2$ 0 1
Nev Residential-Single or
Multi-Family per dve11ing unit.
Service Included:
Items
~I~g
1000 sq.ft. or less
Each additional 500
. sq. ft or portion
Permits are non-transferable and expiwe'EN,- thereof
if york is not started vithin 180 day8JlNrUIION.Eacbo~anuf'd Home. or'
of issuance or if york is suspend~^do~tio es ado/i!iil,,~~''Dlfe~j.l}g'
180 days.. In OAF/9S; Cent€S.e'IYJ;C~eo:rr€~l1ltfWo
0090" -001-0010 se rUles a llliIy
. rou no., thrru/ro"-- re SIlU
2. CONTRACTOR INSTALLATION ONLY Calling 1/; :n'.Y o~!iY ~'ce.s<' u~A.J.j4&e9,e't'$th
L R B bh nUr'lb._. ecent~J1st~!jl1'a,ti>O" Rlilfl1ations
. Electrical Contractor .. ra am, m::,forthe C9i.IR'E11'Ocll'l',tA,9.~:,U/es by
. .~enter;s I. l!,on Utility Notfhone
I 2600-abltrS2:'~ l'es~n /
" 201 amps toJ'400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
/,J0j! DESClWTION,...-
k. L-BUhW!M - '/.ffNiI#T If,/r/L-
Address 68 'West "Q" Street
City
Springfield Phone 747-6638 '
Supervisor License Number
1473S
Expiration Date 10/01/0T
Constr Contr~ Number 08699
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5/J,M
C. Temporary Services or Feeders,
Installation, Alteration or Relocation
Expiration Date
12/18/00,
200 amp~'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
Signature of Supervising Electrician
5;/.: ~ AI5 ~
/' j)1l/I;c.Il/1~.1 ..untL 11_ ~7, Branch Circuits "
Ovners~ame r nf..A.( Iv vo n Tvn {;"/vt Jr, {JtttV1L. .
III /11r.c:- 7t:4.. Nev, Alteration or Extension Per Panel
Address ~~I
C; . . II" . d One Circuit
City C-W1eNC'1hv (Phone tj%,/- J..J./o.r ) Each Additional
O~ INSTALLATION ~?5&h;:J lei/.-. ~~ r~~~~e~r P:~~~ t servif.z. $ 2.00 '-/4, IJO
r~!. 'f/?H/~ . , ' ,
The installation is being' made 0 E. Miscellaneous (Service/feeder not included)
property I ovn vhich is not intended '-Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lightinr
Limited Energy/Res
Limited Energy/Camm
Ovner~~~gnature:
"
DATE;------------~/~7q-q
RECEIPT I: () r~ ( .
RECEIVED BY: W"""
-----
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
qt/-. --
4,70
1- '-12-
/01. <;2......