HomeMy WebLinkAboutPermit Electrical 1997-9-2
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225 FIFTH .:;;~~~l'C.\) \S'il-e.~. aqu re 8poelfio land u'ELECTRICAL PERMIT APPLICATION
SPRINGFIEI!JY,'.!U'\P.~~{OQ. Zonina tv IA ----7/) Cf ')
INSPECTION~:STp.,~ ~-376?, l loA Ci ty Job Number -, ( ( ~\
OFFICE: 7~~~\.l Dole '-I' - T I. *'
Authorized Signal n v-iX COMPLETE FEE SCHEDULE BELOY ,
1. LOCATION, qF INSTALLATION u'"'
r~'41- Main. s.-t- A. New Resideiltial-Single or .
Multi-Family per dwelling unit.
LFf1~srtJPJ,7~&tD Service Included:
B. Services or Feeders
Installation, Alterations
E:1ec:.Wi'C Iyt, or Reloca t ion:
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
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JOB DESCRIP1J;ON
_/(lOfim.D Sf':'rlu'r'f'
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Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days,
2.
CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor \::1., \,\rlf'Y"".
Address 1'1 S "-Aan""",,(l
Ci ty 6.u~enp Phone .1.'KS-09z2
Supervisor Li cense Numbe~ 2.. q"T-O ~s.
Expiration Date
ID~I-q?\
Constr Contr, Number '2O-17.C
Expiration Date \O-I-q,+
Signature of Supervising Electrician
~~ ()~ .
Owners Name tLu f-Ch/IP uor-el
.
AddressJ'1-41- ~A().I(1 <st.
Ci ty_ S'VfIA Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~A~E;----lf1~-1~~~-----------------
RECEIPT 11: I ~ L 1./10 (J
RECEIVED BY: _ '--J:..-Y1/1dJ ^
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
, $ 40.00
$ 50.00 50.0()
$ 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
$ 55.00
$ 80.00
see liB" above
"
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ") $ 2.00 (p.CO
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
5(0.00
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