HomeMy WebLinkAboutPermit Electrical 2000-9-7
TRANS#:01-000313B
DATE:SEP 07 2000
AHT RECD:2 $ BB.oe
CHANGE:
ELECTRICAL PERMIT APPLICATIOEASHIER:.059
City J~b Number 06-01'3;:Z(\~{)/'
COMPLETE FEE SCHEDULE BELOV
. 225 FIFTH S'r,IM;lb1iowi~9 P!~~~as submiued has lhefollowing
SPRINGFIELD ,zoQ~caelll d/ifJ;4~:;r require specific land use
INSPECTION ReOl6EllT: 726-3769 J.D~
OFFICE: 726-3759Zoning
t?- iJ-~ 3.
1. LOCATION'1~~.l:":>l~W\.uuN ~ -
./:2 It" J ~IZ<lO 8i~ture ~ ~ ~ / ..\.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
/9-o~3'5.<.{/ ()//':fOA
Items
1000 sq. ft. or less $ B5.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling ) 7' e. 0()
Service or Feeder $ 40.00
~";I-' C. Temporary Services or Feeders
Constr Contr. Number :l...,(;j ;>r6?':-c;;., ,. Installation, Alteration or Relocation
IOtiti '. 'Ule, (.H"
Expiration Date /0// /oCfLJ';!ltiO,,;,aaoIJ1;(J, <200. amps"or less
. 'j090 '1:152'0'''''1131 nOOYlf,Onamps to 400 amps
Signature of Supervising El@~n.~i}!107'0070 -"'Ose9pf1re,6p.rto 600 amps
. ~ ~ fJ/Jrn;nOthe ClYOblai rhro/Jg%etap~OUafil,Ps Ot' 1000 vo.l.tS
-</ ~ ~; - i3rf.,.{;~nl"',. r"COlJie. ?Ilf:lq s~rfo,-, .
'" -r-' "('P~'" eOre /lJDte:l,!li'a9J&h~~ults
O;:ners Name R P "'" U .//y/)y ';. , .,Yonu.",."e/eZe f'lJleSt
. ').. tlllhN" :Oh" ',.
/J ~ . "1~? 'J "O'nli'l!'~,t~ratlon or Extension Per Panel
/ ^ " r 1 ':>144) ICatio
~ One CircGit
Phone 7yf. (; 1 I Each Additional
Circuit or vith Service
0= Feeder Permit
JOB DESCRIPTION
/>7 1Y}r/L,.- #/l?
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
NO'"
2. CONTRACTOR INSTALLATION ONLY ~,~'~~~ervices 0= Feeders
r'/ ;;.rtISPE:A Installation, Alterations
Electdcal Contractor AL1 LF iJ;:(.. '6""""0 1I.1f9f:.'f!elocation:
_ ""/ . Ca 'AIZE:D' 'All ~y
Address ,...:r./ / r-t /J /,/'1./ A. 'fv71v;E:fV, ZOODi!:T,ps;o012't.E1,SS .?
"V Y If>, CE:D201 amp"'sfl~o lliOO!L;amp's
Oi ty ~ r /c~ Phone 7..l- t' ;'717 /ODllyp/!)i!S"rf1P'T,,'t'OS6,9.9r,;!kp5'l(
60~tampsICtoJflOOOS~mRs
Supervisor License Number J Q~J -> Over' 1000 amps?Lv,olts
/ / Reconnec t Only .
Expiration Date /*' // 0/
Address
Ci ty ,) /' ~c.LJ
O~R INSTALLATION
S 50. 00 P:;Nb
$ 60.00
$100.00
$130.00
$300.00
S 40.00
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
"
$ 35.00
$
2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
The installation is being wade on
property 1 ovn vhich is not intended
for sale, lease or rent.
E.
Owners Signature:
---------------------------------------
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
DATE:
[\L\,tt.J. r:-; #:
RECEIVED BY:
$ 40,00
.$40.00
$ 20.00
$ 36.00
4O.ef