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HomeMy WebLinkAboutPermit Electrical 1999-03-11r*IE INSPECIIION REQLIEST ; Autlqr6re$ f\@ature OFFICE: 726-3759 1. LOCATION OF TNSTALLATIONbzqA),.6L LEGAL DESCRIPTION!-? JOB DESCRIPTION SI'HINGFIELD ELECTRICAL PERHIT APPLICATION City Job Number QQ r:3/ 3. COHPLETE FEE SCHEDI.iLE BELOII Nev Residential-Sing1e orMulti-Family per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500sq. ft or portion thereo f Each Manuf'd Home. or - Modular Dvelling Service or Feeder $ 8s.00 s 1s.00 s 40.00 The lollowing proiect as submitted has the lollowing zoning. and does not require specific land use *fr, approval. Zoning 225 FIFTE STREET SPRINGFIELD, oRxGoNDgY A B E Sum Permits are non-transferable and expireif vork is not started vithin L80 daysof issuance or if vorlc is suspended for 180 days. 2. CONTRACTOR INSTALLATTON ONLY Electrical Contractor Address Ci ty Supervi.sor License Number qO Z 5 Expirat j.on Dare lD - / - a) Constr Contr. Number Expir.-ation Date Signature of Supervising Electrician 0wners Name b-//,., *_e /^ ^. ArE D,;7, Address Z-/--,,- >rr^ i L( Ci ty fr s4 F.re(>Phone 734 -z/azt'l OYNER INSTALLATION The installation is being made onproperty I ovn r-'hich is not intended for sa1e, lease or rent. 0vners Signature DATE Services or FeedersInstallation, Alterationsor Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 60L amps to 1000 amps 00 00 00 00 00 0040 $ s s s s s 50. 50. 100. 130. 300. $ 3s.00 ttgtt uffif c Over 1000 amps/voIts Reconnecf 0n1y Temporary Services or FeedersInstallation, Alteration or Relocation 200 amps''or less S 40201 amps to 400 amps. - S 550ver 401 to 600 amps - $ B0 Over 600 amps or 1000-vo-ITs see .00 .00 .00 D. Branch Circuits Nev, Alteration or Extension per panel One Circui t Each Addi tional Ci rcui t or r.ri thor Feeder Permi t Servi F $ 2.oo /D Miscellaneous (Service/feeder not -Each ins tallation Pump or irrigation S 40.Sign/Outline Lighting- $ tO.Limited Energy/Res _- $ zO.Limited Energy/Comm $ 36. included ) 00 00 00 00 5 SUDTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL bo I ,6C I I ; RECEIVED I]l-4'o,2 D Phone- -.. -'Ln)L' 1