HomeMy WebLinkAboutPermit Electrical 1998-5-11
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225 FIFTH ~.~_ r\ 1f'Ib.,,\\Cf!;:. X\~\.'t.'/.'i'"",\'O'i''t.wt-~'fO&CAL PERMIT APPLICATION
SPRINGFIEL1r.'''OmIJN''~' \,~.:1 'f ~ ~?-."" ~~~ q(/'O rtc
INSPECTION REQUEST: 726-3769' .....\'O'i''t.'(o.".r:..'V\)~1,) t>-~t>-~Q City Job Number .,., Lf'L '\
OFFICE: 726-3759 "" o~:v n?-.\'O
t>-\)"~ ~~G't.'V 3~~~HPLETE FEE SCBEDlJLE BELO\I
1. LOCATION OP I,NSTALLATIOl'{ O~"" t>-~ 'i'
-2..1<(-, l1~Ke>/\ZI(> f...e~{-~ O~>,\)Q, A. New Residential-Single or
~7J'\:J,,)/II,J'WIOO Multi-Family per dwelling unit.
LEGAL.DE~~TION ~~~, Service Included:
c,J\.-, 1'1."-' o-j.!,.. ('^ r- Items Cos t
'........J '
JOB l" JCRIP1]:ON ,
~~/fJr"'-\-"" c...:,e~01~
Permits are-)on-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each addi tiona1 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor5~,-&'~F/~-<:_.~..."..~
Address 734-S4-t.f Wl7.lll\,o dw.J'
Phone '-l'9J~- ?sl /
4-lq) 5 '
Services or Feeders
Installation, Alterations
or Relocation:'
City F v.:x vv<'
Supervisor License
Number
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
Expiration Date (0/16
t ____
Constr Contr. Number /1'17!3S
Expiration Date I /?f)OD '
(
Si~J~an
Owner~ Name>SQc-k ql<d, d.-;~ ~
Address J:5)..Il)~V?M) ,i\r
CitY""&YV\(J_ Phone IoPJ9--SI12
01lNER INSTALLATION
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00 .!iJl. 0 rJ
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
Ovners Signature:
~~~~~:-~;r/(~-0F~~~---------------'
RECEIVED BY: jt! . tll A.A--
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative ,Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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