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HomeMy WebLinkAboutPermit Electrical 2001-10-24fv theq&EGmICA -.'ERMIT APPLICATION land use'"tityr"uNu-u", O / - o o 86 7 { / JOB DESCRIPTION ^Nili*rut*Lwr PttaV :*a'n.g OFFICE: 726-3759 approval Zoning OFo +l^ A\rlllO LEGAL DESCRIPTION t?OZ 3IZL ot7qg crlv rEtL - Dil *=r Z Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical FEE 1000 sq.ft. or less Each additional 500 sq. ft or portion Each Manufd Home or Modular Dwelling Service or Feeder BELOW or Multi-Family per dwelling unit. Service lncluded: Items Cost Sum s106.00 $ 19.00 $ 5o.oo _ I s+:.oo q 3 $2s $45 .00 thereof I f1D Yn*3*!%?7 Supervisor License Number PSEDS Expiration Date o Constr Contr. Number Expiration Date Signature of Supervising Electrician Name zoz:+ s Phonef{: WSO INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature C. Temporary Services or Feeders Installation, 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 Branch Circuits New, Alteration or Extension Per Panel >/One Circuit B. Services 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/volts Reconnect Only E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $50.00 Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTALOFABOVE '|oh State Surcharge 8% Administrative Fee ,Q iTO: U]IH5U] :33NUHXEt'M i: flIlu HU Tnf',? }'7 t nfi ' -1 I UaI!t-,'tJLr Yrr JL|U. -f JVU T, n,l ni'r.1 Tn. *illlllil tl-,:uiJuuu- tu' i+olt{u'l]. TOTAL bo '?{ 225FrcTH STREET SPRINGFIELD, notINSPECTION I $ 63.00 _ $ 7s.oo _ sl25.oo _ sl63.oo _ $375.00 _ $ 50.00 $5o.oo _ s69.oo _ $100.00 _ cw-V;tleaL AUI f Each Additional Circuit or with Service or Feeder Permit S 3.00 $5o.oo _