HomeMy WebLinkAboutPermit Electrical 1996-10-31ll/18/gl 16:{0 l}cot ?r0 toso " $PFD DEV, SEn.
The follo,.;..' ..,,',inc, u.,;i.-j,'i ij:it ".: si,5n'r!;iei.,i I. .*- approi,al. (':
"'/.'c: iloi ,-".;r;r" *p#;i,filff ;;= ,",
@ ooz
225 ytYrs SIRESI
SPBINGFIBLn, oRECOlt 9747t
INSPEOf,ION RE(lt Bstg 126_3169OPEICE: 726-3159
ia/ ireen lalc
Address 68 l.le s t rr
Q
rr S tree t
ct Spri ngfield phone I 47 -6639
3. COIPLSTE PgE SCEEOUI.E BErcg
A. Neu Resldenrlal-Slngle orHultt-FEDtly per avilllnc unlt.Servlce fncludadt
I tems
1000 sq.ft. or leec
Each addttlonal 500sg. ft or portlon
thereof
Each Hanulrd Eonc or
-Hodular Dvelltng
Servl'ce or Feeder _
Servlces or Fcrdere'Installatlon, Alterrtlonsor Rclocatlon:
200 amps or less
201 anps to 400 amDs
-401 amps to 600 anis
-601 amps to 1000 dp.-over 1000 amps/volti
-Reconnect Only
-Temporary Servlces or FoedersInstallatton, Altcratlon or Relocatlon
gpnrxorlciD
EI,ECIRICAT PERI{IT APPITCATION
Clty Job Nuabsr qa wg|
Cost
co(fr^Y gJ.l,V
$ 15.00
$ 40.00
1
Sum
&
10
fl Permlts are non-transferable and' explrelf vork ls not started"vtthln fAO Uivs-of-lssuance or lf.uork fs suspirii"a-io.
180 days.
2. COMBACTOR INSTALI,ATION ONLT B
Electrlcal Contractorl . R. Bra bham, I nc .
$so$60
100$
I00
00
00
00
00
00
Super,visor License Nurnber
Explratlon Date
I 473S $130
$300
$40
a
a
40.00
55.00
80.00
10/1/e7
Explratlon Date.1 2/ 1B/ e6
stgna 6f Supervlslng Electrlcian
0rners K.*t0res
Address I 4o t /, AFr
OgilER INSTALIArIOI
The Installatton ts belng nadc onproperty I oun vhtch ls not lntendcdfor sale, lease or r€nt.'a
Otmere Elgnaturer
DATB:
c
200 aarps or 1ess
201 amps to 400. Over 401 to 600
Ovcr 600 amps or
D. Branch Clrcults
E.
anps --
anps
1000T6lITs
$
$
$
$r
Nev, Alterutlon or Extenslon per penel
one Clrcult / $ 35.00 ?5 OOEach AddtttonrlClrcult or vlth Sorvlce
Hlccellancous (Servlce/tecdGr not lncluded)-Each tnstallatlon
Punp or trrlgatton (Slgn/Outltne-Llshtlnq- iLlultcd Energy/[rs s- iLtnlted Energy/Coua
-
5
SUETOTAt OF AsOVE
5Z State Surcharge
3Z Adalnlstratlvi Fee
rOTAL
ee nBtr affi
40.00
40.00
20.00?e nn
RECEIVED
5 3 5,0o
I
Conitr Contr. Number 08699
6w5lK/M6FIE[2 pnon"_7,4b, bW