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HomeMy WebLinkAboutPermit Electrical 1995-08-28-+>r oiy2z r'"?4c/"4- 225 IIIFTE STREET SPRTNGI'rELD, op&G0N 9747 TNSPECTTON REQUEST. 726 OFFICE: 726-3759 Daie 1. LOCATION OF INSTf7o LEGAL DESCRIPTION JOB DESCRIPTION /:X 7-a.u4, c -.2 Fun- h /A I c)a/O Permits are non-transferable and expirejf vork is not started vithin 180 days of issuance or if vork is suspended for 1t)0 days. 2. COMRACTOR INSTALLATION ONLY Electrical Contractor ABLE ELECTRIC Address 551 1 MAIN Ci ty SPRINGFIELD Phone''l 26-61 Ol Su pe rv i sor License Number 3023S Expi ra t ion Da te 10-1-95 Consrr Contr. Number 92506 Expiration Date 7 -16-96 Signature of Supervising Electrician SPrlII\lOFTELE B. Servi.ces or Feeders Installation, Alterations or Relocation: 200 amps or Less 201 amps to 400 amps -401 amps to 600 amps 601 amps to 1000 amps- Over 1000 amps/voIts Reconnect Only C % 1.,.,.,., ,.. .:ELECTRICAL PIjP.HIT AI,P LICA'T]-ON City Job Number COHPLETB FEE SCEEDULE BELOV tial-Single or Multi-Family per dvelling unit. Service Incl-uded: Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 s 40.00 .r Sum $ s0.00 $ 60.00 s100. 00 $130. 00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation ci ty-Phone OVNER INSTALI,ATION 'Ihe installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: D. Branch Circui ts Nev, Alteration or Extension Per Panel- one circuit ,l S 35.00 Each Addi tional Circuit or vith Service or Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) 200 arnps or fess 20L amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000-voITs -Each installation Pump or irrigation S Sign/Outline Lighting- $ i,imi ted Energy/Res -- $ Limi ted Energy/Comm $ $4$s $e see 0.00 5.00 0.00nBr aE6ve- Uwners Name Address €/,.F..4r-a/ ,71 40.00 40.00 20.00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL ?fe /.7 s l,o-f ?7RBCBIVBI)o((,rz