HomeMy WebLinkAboutPermit Electrical 1999-10-22t1i. 11.. :i
rltr,l(.:l;lr:Lt-,
fhe
zoti
followlng Proiect AS submitted has the lollowing
tng. and does not require specilic land use
approval
97 471 Zoning
72.6-3169 o
Date
r+T ELBCTRICAL PERHIT APPLICATION
ity Job Number
S T'EB SCNEDULB DELOV
A Nev Residential-Single or
HuIti-Family per dwelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
t lre reo f
Each Manuf 'd llome or
Hodular Dvelling
Service or Feeder
$ 85.00
$ 40.00
eb
2-25 ITIFTII STRIIIiT
SPTrINGFIIiLD, 0l(t':G0N
INSPIICTION REQUIIST:
OFPICE: 7?.6-3759
1. LocATr,N o,,
Aurno.zed signature
/ Y 2 u'*';t'Y'o*
LBGAL DIiSCRIPTIONOZc)20
JOR DESCRITTION
Pernrits arc non-trarlsferable and cxplre
if vork is not started vlthin 180 days
of issuance or if vork Is suspended for
180 days.
2. COI.nTATTOR IN:;TALI^ATION ONLY
lilcctrical Contractor tC
f,ddr:css 3b /ld,* il, I ls
Services or Feeders
InstaIIatlon, Alterations or
Reloca tion :
200 amps or less l/ $ 50.00
201 amps to 400 amps $ 60'00
401 amps to 600 a*ps
-
$1oo.oo
601 amps to looo amps- $13o.oo
over 1b00 amps/vorts
-
$300.00
200 amps or less
201 amps to /r00 amps
-
0ver /r0L to 600 amps _-_
Over 600 amps or 1000 volt
Sum
B
o
above
Ci ty Plrorre 1ZG-
Srrpr:rvi:;or License Ndnrber 39qt S
Ii>:pi ra t i orr Da te rolr\or
Constr Contr. Numbet 8qUtl I
E>:pi ra t ion Da te
Signature of Su
o
rvising Electrician
0vnc rs Narne ei,
Atld ress lo ,/A
Ci ty ['honr:
OVNIiR IN:;'I'ALLAI'ION
The installation is being made on
proper ty I ovtl vhi clt is no t in tended
for sale, lease or rent.
Ovners Signattlre:
DA'I'E:
NIICEIPT fl:
Temporary Services or Feeders
InsiaIlatlon, Alteration or Relocation
I
C
s 40.00
$ ss.00
$ 80.00
s see ttBtt
D. Branch Circui ts
Nev, Alteratlon or Extension Per Panel
One Ci rcui t $ 35 ' 00
Each Addi t ional
Ci rcui t or vi th Servi ce
or Feeder Permi r S 2.00
E l'liscellaneous (Service/feeder not incltrded)
-Each installation
Pump or irrigation
Sign/0utIine Light ing-
Limi ted Energy/Res
--Limi ted EnergY/Comm
SUBTOTAL OP ADOVE
7ix srate Surcharge
-?OTtt_ *tv,t) S?a
$40
$40
s20
s36
00
00
00
00
bo
r(li('liIVI:l) llY
o
5
-lbh/-
$ 1s.00
.-n&-c),