HomeMy WebLinkAboutPermit Electrical 1999-9-22
The following project as su ml e
zoning, and does not require specific land use
approval.. L\') 0
ZOning ~~~'
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Date . 1\';1:'
225 FIFTH STREET ..s; natu e:n:' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, d'\t'Ire6f.l'd~/9I11 r 5t"'t:HMITSHALLEXPJR~JFTH nt':;.1
INSPECTION REQUEST: 726-3769 AUTHORIZEDUNDERTHISlS1ll' 5d'Y~ber Vj'-10&tt~
OFFICE: 726-3759 COMMENC EHMtTlSNOT
EDj1R IS:;(JJMMmThI~FoIfHEDULE BELOIJ
1. LOCATION OF INSTALLATION ANY 180 DAYPERIQn
<{,Lt1 Old D,flhlJm LII/1/ '. A. N"ew Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCJgPTION ~ Se1:vice Included:
17o').t'? 1f'2,~C{D U Items
JOB DESCRIPTION 1000 sq. ft. or less
.S'~tu//I-.tl )o{#./Yl Ilifl1"~1I1 h'llY1'/ Each additional 500
sq. ft or portion
Permits a1:e non-t1:ansferable and expire . thereof
if w01:k is not started within 180 days Each Manuf'd Home. or
of issuance 01: if work is suspended for Modular'Dwelling
1BO days. Service or Feeder
e. SPRINGFIELD ",.
Cost
/
Sum
$ B5.00
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services.or Feeders
'. . Installation, Alterations
Electdcal cont1:acto1:fJit/I/';'-;rfI/L I'",./r/Jntc-r- 01: Relocation:
Add1:ess P. O. g/N. l./~ 200 amps or less
/ 201 amps to 400 amps
City_Y"./(?eL2/ Phone 4'6'-1- Q07r1 401 amps to. 600 amps
, 601 amps to 1000 amps
Supe1:viso1: License Numbe1: .~ ~ ~ rJ Lf Over 1000 amps/vol ts
Reconnect Only
Ey.pira t ion Da te
10' qq
ConstJ: Cont1:- Numbe1: q~/"'5
Expi1:ation Date i/ 100
Signature of Supervising Electrician
Owne1:~ Name~I{l:ll~1 IJ. thm"f
Address _(J. D. fb{)y. 1<11 "5
Ci ty ~UA I{LLi-' Phone 1L/'I-- l{,!,{)
O\JNER INSTALLATION
'(V17\:.G'Gc,t.;.,. :
The installation ~s. h7~!MI.I(I'1~~.~ln9n.\oOe-~'
P1:openy low" whlcHOilsl.\nolt'lln,ten.ded c.'
QIIfJ UO~ ""'"1+'--. .-
for sale, lease 01: 1:en (. '3l.\HO ,:;sldo2 JO;j" .
~q salOl. q6nOJ4... '
Ovners Signature: -WO-G968~?a.l -l"().
l.\llollas ale \j ", . .
~lmln uooaJs>_a4~.^Q ~ro' .
____________________~~DDD~~~~~~~-------
DATE:.. q-~<1q
RECEIi'T U: () ~i'~
RECEIVED BY: ^
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Tempora1:Y Services or Feede1:s
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 "B" above
"
New, Alte1:ation or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
"Miscellaneous (Se1:vicel feeder
~Each installation
Pump or irrigation $
Sign/Outline Lighting $
Limited Energy/Res --1.- $
"Limi ted Energy/Comm $
...'1 E~
.c.
."
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included
40.00
40.00
20.00 J,gj)JJ
36.00
''Lf).If)Q
I. 14 ()
. 11. iJ
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