HomeMy WebLinkAboutPermit Electrical 1999-11-15t ttl. lli, t
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2.25 FIFTII STRJ.:I.:T
SPItINGFIILD, ORIiG0],1
INSPBCTION REQUIIST:
OFFICE: 7?.6-3759
The lollowing prolect as submitted has the lollowing
zoning and does not require specific land use %
1. LOCATION OI}
/t /0 3o
INS
aA
ELBCTRI CAL PERHIT APPLICATION
Ci ty Job Number ?t tstl
LtsTI' ITEE SCNEDULB BELOV
I tems Cos t
$ 8s.00
.$ 15.00
$ 40.00
Nev Residential-Single orHuIti-FamiIy per dvelling unitService fncluded:
aF,proval.
97 477-
7267T',t8
Date
,rurrrorized Signature
TALLAI'ION
LEGAL DI]SCRTPTION
A
B
C
/70zlol r 0O\ot
ESCRTrITON
"^i
- S cr ac*,/ f
2. COMRACTOR INI;TALINTTON ONLY
Iilcctrical Contrac t;or /Lqnl,,C
Adclr:ess d S
Ci ty I rl,onu 7t b-pG59
.Srrpervi.sor License Nunrber 3qq, 3
Ii>:piration Dare f OIf \Of
Constr Conrr. Number 89 Utl 9
Ii>:piration Date oo
Signature of Supcrvising [lectrician
1000 sq.ft. or less
Each additional 500sq. ft or portion
t hereo f
Each Manuf ,d llome or
-Modular Dr.relling
Service or Feeder
Services or Feedersfnstallatlon, Alterations or
Relocation:
200 amps or less /
201 anrps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
JOI} D
s s0.00
$ 60.00
$100.00
$130. 00
$300.00
$ 40.00
Sum
fi-
aEvE-
/o
Pcrmits arc non-tr.ansferable and cxplreif vork is not started vlthin 180 claysof issuance or if vork is suspendecl for180 days.
Temporary Services or Feeders
Instal1at1on, Alteration or Relocation
200 amps or less
201 amps to 1100 amps
-Over 401 to 600 amps _Over 600 amps or 1000 volts
s 40.00
$ ss.00
$ 80.00
see ltDil
Ovnc rs Nalne frN,//rev,.-_D. Dranch Circui ts
Nev, Alteratlon or [xtension Per Panel
Atrdress t'f S o--ilrr
Ci ty
one Ci.rcuit $ 35.00
Each A<ldi t ional
-Circui t or vi tlr Service
or Feeder Permit f $ 2.00OVNIiR IN:J'I,ALLATION
The installation is being made on
property I ovtl vhich is not interrded
for sale, Iease or rent.
0vners Signaturc:
sp{t/['lront:
E. l'liscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-_
Limi ted Energy/Res
--Limi ted EnergY/Comm
5. Sl.rIlroTAL 0P ABoVE
State Surcharge
TOTAI,
$ 40.00
s 40.00
s 20.00
s 36.00
0
DATE:
RIiCT,I '.P'I
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