HomeMy WebLinkAboutPermit Electrical 1993-12-21
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SPRINGFIELD
The, following .proJoct es eubmllted Ilea the following
zonmg, and d;j.ss not roquire specjficland use
225 PIFTH STREET approval, _, ELECTRICAL PERMIT APPLICATION 0'
~~~~g~~:f'~g~;~~ 9~~~~Zj'flW e L. ' City Job Number C\'Q\'71
OPFICE: 726-3759 Dnlo_~ t:;;>-d..J-9~
, , 3.~COHPLETE PEE SCHEDULE BELOV
'1. LOCATION OP INS.fAi"EMol\Bnature r.,..
20'-13 /"lA//'-{ S., c>>
\1ft)~~lJL\ffi{ )
JOB DESCRIPTIQN
Lou V""LTA-t'-,>O' >C"'"Cya..,"~ 5..-5no.-r-\
P~rmits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
A r-,.,
Address /S-GO> I ~-~L
Ci ty C:VOl5N&-
Phone J'12.- J ,n
Supervisor License Number ~ L 'lL..C-
Expiration Date
It? -/-7/0
..
A.
New Residential-Single or
Hulti-Family per'dwelling
Service Included:
uni to
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
B. Services or Feeders
Installation, AI~erations
or Relocation: ,-
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 1(0.00
Cons t r Con t r. Number s 1'7 .:r'-f
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
'f - Z. <J;--') <-(
.
Signature of Supervising Electrician
t/2 tJ J ,__A
Ovners Nam: ~ ~ Q"1 I. 1\\ DO.. .. .
Address ~3 tul} J~ 'tr
Ci ty Sf) J>Q (f!{ -{Phone
~~ALLATION
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE;---------.,.rt/.-qif~--------~' 5.
RECEIPT 1:8 'f1l1 1 'II '{b.A.I/)
RECEIVED B' V' ./ \;;TV ','- .
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 "Bn
above
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL
$ 35.00 '
$ ,2.00,
not included)
'x-
$
$
$
$ 36.00
....9/o.O:J
rl, s;-<x" j
,--S"/ CV'"l
5.6,<:>-'
40.00
40.00
20.00