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t-D0 city Job Number 7/ /VINSPECTION REQUEST: 726-3169OFFICE: 726-3759
1 LOCATION OF INSTAILATI6za 0\uthorizeo
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3. COHPLETB FEE SCMDULE BELOII
es i den t ial-Si ng
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Le orlling uni t.
ftems Cost Sum
s 8s.00
$ 1s.00
Date --[
Mul t am r dveLEGAL DESCRTPTTON
.4 2
JOB DESCRTPTT ON -"Q- 6a< €
2:-s4 *a 5.?
Service fncl_uded:D
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Zlts are non-transferable and expi reif vork is not started vithin 1 B0 daysof issuance or if vork is sus pended for
1 B0 days .
2.. COT{TRACTOR INSTALLATION ONLY
Electrical Contraclss ABLE ELECTRI C
Address 5511 MAIN
Ci ty SPRINGFIELD Ph one 726-67O1
Supervisor License Number 3023S
Expiration Date 10-1_95
Constr Contr. Number 92506
Expiration Date 7-16-95
Signature of Supervising Electrician
C',t' B /3 /-// 4 1000 sq.ft. or less
Each addi ti.onal 500sq. ft or portionOt2
a-*1€
., €J'
C.
D
E
thereo f
Eaeh Manuf,d Home orModular Dvel1i ngService or Feeder
B. Services or Feedersfnstallation, Alterationsor Relocation:
$ 40.00
200 amps or less $ 50.00201 amps to 400 amps
-
$ Lo.oo40L amps to 600 amps
-
irdo.oo60L amps to 1000 amps- SiiO.Oo
Temporary Services or FeedersfnstalLation, Alteration -oi-n"Iocation
200 amps or Less $ 40.0020L amps to 400 amps
-
$ SS.OOOver 401. to 600 amps $ g0.000ver 600 amps or tbOO-voIT" J"I',,8,r a6or-
Branch Circui ts
Nev, Alteration or Extension per panel
(,)wners Name Z?e4Z? - ./-ZetZ-
Address 27o €.2?vr'
7 TYet
Phone
DATE:
Ci ty d ''r2 .,2-'zz€One Ci rcui t
Each Addi tionaL
Ci rcui t or vi thor Feeder permi t
S 3s.00 6Zo
$ 2. oo Eaa
OYNER TNSTALLATION
The installation is being made onproperty I oun vhich is not intendedfor sale, lease or rent.
Oyners Signature:
Miscellaneous (Service/feeder not included)-Each installation
Servi cer
ly1o,gr irrigarion $ 40.00brgn/ourtine LiEhting- S 40.00ll:l::9 fnergy/iles -- s 20.00
SUBTOTAL OF ABOVE5Z State Surcharge
3Z Administrative Fee
TOTAL
RECETVED
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