HomeMy WebLinkAboutPermit Electrical 2001-08-08225 FIF'TH STREET Tt-lllowing project as submitted has
SPRINGFIELD,
INSPECTION REQUEST:
OFFICE: 72G3759
Date
OF q-
does not require specilic 'll""f li$' ryrEc.\rcA L eERM r r A ppL ICATIoN
JobNumber 0l - 0O85O-OI
SCHEDULE BELOW
A.
qfl-}OZ
oo2-
1000 sq.ft. or less
Each additional 500
sq. ft or pution
thereof
Earl Manufd Home or
Modular Dnelling
Service or Feoder
$r06.00
$ 19.00
$ s0.00
B. Services or Feeders
Installation, Alterations or
C'r/a Relocation:
1-$ 63.00 t ,{n
Rssidential-Single or
Multi-Family per dwelling unit.
Service lncluded:'ff iYU'$,a Items Cost Sum
JOB
Permits are non-ftansferable and expire
ifwak is not started within lEO days
of issuance a ifwork is sspended fc
180 da1a.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 ampsto 1000amps
Over 1000 ampVvolts
Reconnect Only
C. Temporary Services or Fooders
lnstallatim, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B'above
5. SI.'BTOTALOFABOVE
T/oStile Surdtarge
E9le Administrative Fee
$ 75.00
$125.00
$ 163.00
$37s.00
$ 50.00
Expiration Date A.$50.00
$6e.00
=- $ 100.00 _Signature of Supervising Electrician
o
OWNER TION
The installation is being made on
propsty I own which is not inteod€d
fasale leascarent"
Owners Signature:
D. Branch Circuitsr\
New, Alteration or Extension Per Panel
-a One Circuit $43.00
Each Additional Circuit or with Service
or Feeder Permit
-
$ 3.00
E. Miscellaneous (Servicey'feeder not i n cl uded)
-Each instailation
Pump o irrigatiur $50.00
Sigrr/Outline Lightine $50.00
Limited Enerry/Res $25.00
Limited Energy/Comm S45.00
go
Ovmers Name
Address 3q
."r14& - O35 I
.1
TTCI:.!:iHSUX
;lsl{uHx
Et'il, $ I: CIil,r i.t"lu
I00[ E0 5fiu:]1u0
IBt?fi00-In: *sFtu,il TOTAL '7L.46
l.
c,ryE-irci#6.c--- prrme-&tjl{a - t! 9 C 5
Supervisor Gcense Number (5 U A S
E-pirltl.q *r':,,,
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