HomeMy WebLinkAboutPermit Electrical 1997-04-16|.
ari J a, UEr . OEtt.
CITY OF SPR,,,VG OPEGM
225 FIFI3 SIREET
SPRINGFIEUI, oREc0tt
IllSPEcrIm REQIIESTT
0PEICET 726-3t59
I 0r
SPetilortSiD
(\EI,ECIN,IC{II, PERI{IT APPIICAION
Ctty Job Nrraber q
PP5 SCEEDUI.E EErcV
h
A
B.
c
TTON
3-Llq c
Nev nesldentlal-Slngle orHultl-pantly per dv;lltnt unlt.Servlce Inciudedr
ftems
1000 sq.ft. or les3
Each addttlonal 500
s!1. ft or portlon
thereof
Each Hanuf ,d'Eonc or
-Hodular Dvelltng
Servlbe or Feeder _ S 40.00
Servlces or Feeders'fnstallatlon, Alteratlonsor Relocatlon:
Cost
$ 85.00
$ 15.00
Sum
{,,,Permlts are non-trans{grqblg and'exptrelf sork ls not started'vlthtn fiO Olvs-of_lssuance or lf.vork ts suipini"a-i6,
180 days.
2. OO}TItsACTOR INSTALT,ATION ONLr
Elec trl
Address
ci 5
Trt etk-
cal Contr axorL,( ,hm,Iuc-
by
Punp or lrrlgetlon
Stgn/0u t I lne - Lt gh t lnr-Lllltcd Energy/Rrs --
Llolted Encrgy/cooa
-
200 amps or tess
201 anps to 400 amps
-401 amps to 600 auris
-601 amps to 1000 .ips-
over 1000 amps/vo1ti
-Reconnect Only
-
Prrone 7 47,b(ts8
$ 50.00
s 60.00
$100.00
$130.00
$300.00
$ 40,00
Conitr contr. Number C8b?'J Temporary Servlces or Feedersfnstallatlon, Alteratlon or ielocatlon
Supervisor License Number //K 5
Explratlon Date
Explratlon Date ,f 7
Stgnat 6f Supervlslng Electrlcian
Ovners / A/4/iE/z-
Address /150 /t/' /}tL
ct ty phoncT*J,a555
201 arps to 400 anps
-Over 401 to 600 aurls
-over 600 ahps or 1000-T6I[s
200 aurps or less s 40.00
$ 55.00
$ 80.00
ItI'Bsee affi
D. Branch Clrcults
Nev, Alteratlon or Extenslon per penel
OgI{ER I}ISTALITTION
The lnstallatton ls bclng nade onproperty I oyn vhlch ts not lntendcdfor salt, lease or rent.t
Gmers Slgnaturer
one. Clrcult / $ 35.00 WEach AddltlonalClrcult or vtth Scrvlceor poeder pernlt _ $ 2.OO
Hlccellancous (Servlce/fecdGr not lncluded)-Each tnstallatlon
SUBTOTAL OF A8OYE5f Statr Surcherge
3tr Adalnlstratlvr Fee
TOTT\L
E.
$ 40.00
$ 40.00
s 20.00
s 36.00
RECEIVED
5 00
JOB
DATE:
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