HomeMy WebLinkAboutPermit Electrical 1996-1-31
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SPRINGFIELD
TI' e following orolect GO submitted hao Ihde folic
z~ning end'do~s not require specIflc .Ian use .
225 ,r.Lh" STREET app,o~ol. ELECTRICAL PERKIT APPLICATION
~~~~;oiE~:C~~ 9~~~~3769 Zonino C C_ City Job Ntimber 9~0/2 ~
OFFICE: . 726-3759 Dat..J3i.::5. f.t., , ,
, 3. "cOMPLETE FEE ~CHEDULE BELOII ~
1. LOCATION OF INSTALLATIONrthorized Slgnoturo_ u--LJ
I,l/'} n-.Ol N 'A.I 'New Residential-Single or unl't. "
Multi~Family per dwelling
LEGAL DESCRIPTION Service lricluded:
J7t:J3> .55 3 J /2CJ-nrJ Items Cost Sum
JOB DESCRIJ'ION
---J",~1a /I '1 A~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or'
Modular Dwelling
Service or Feeder
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. CONTRAcrOR INSTALLATION ONLY
B.
Services or Feeders
Installation,' Alterations
or Relocation:
Electrical Contractor ,.qAt+- f-\ia.en--
Addre;sJI d- (){J we is-:'
City <;06 Flo Phone 6 y~ -~N<
t
Supervisor Licen,se Number 77/ . !J L F
/IJ- /-q6
~) Ff L
/l.../rt
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps ,
Over 1000 amps/volts
Reconnect Only
Expiration Date
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
, $130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000,volts
D.' Branch Circuits
Expi'ration Date
Signature of Supervising Eiectrician
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JOhn Jlt\f'l iQ.~'
owners Name ' / ~
. "/'<../
Address ({):S 7 1:2.. '7)t-
City -S 901~ttR;'(d Phone
OIINER IN~ALLATION
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Pe,rmi t
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Lim~ted Energy/Comm
The, installation is beirig made on E.
property I own which is not intended
for sale, lease or rent.
~rJ J' /tu#
OwniJ /l ignlZ
__.L__J!!j~--.,----rv:~~~ ~~_i!os. .
DATE: /~I.r)~ '1LR ' ,
REC~!~_lI:..d~~L-
SUBTOTAL OF ABOVE
5% 'State-Surcharge
TOTAL '
40.00
40.00
20.00
36.00
3b-
$
$
$
$
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