HomeMy WebLinkAboutPermit Electrical 1997-7-28
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225 FIITH S II, \ ~ \y.\~ ~~\) <
SPRINGFIELD, 0 ~l!.7.A'~~t\.~~\)~f(. ~~~\)O
INSPECTION REQUES~~''7Z~'\U-O'J ~ \'2> \II
OFFICE: 126-3759 ~~\'(-\ ~\C~\)a <\\O\) ,
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JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
l80 days.
Expiration Date
Electrician
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NameJ2btJJF<::) -r /f)()C{/r\
Address 2p/~ ()~O/C-
Ci ty Sf" ~ at d.. Phone
OVNER IN ALLATION
Ow
The installation is being made on
property I own which is not intended
for sale, lease or rent,
ELECTRICAL PERHIT APPLICATION
Ci tYJ~b Number q 7// 2J{
3.
COMPLETE FEE SCHEDuLE BELOY
uni t,
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof '$ 15.00
Each Manuf'd Home, or
Hodular'Dwelling
Service or Feeder $ 40.00
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
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One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
35.00
z. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
b \..1 fl ,.+~..+-Installation, Alterations
Electrical Contractor Pll\\{'J\()~ .l..00\.; or Relocation:
Addres's~~ 0 P(\ \ \\lDd" 200 amps or less
C, fI.^r.l1'10f' 201 amps to 400 amps
Ci ty LA "GQ1\O~ Phone l n.J.:...l.kW...l 401 amps to. 600 amps
6 . ~~~~Q 601 amps to 1000 amps
Supervisor License Number ~lJ~ Over 1000 amps/volts
,\ ('\.. \ . c::.. QJ , Reconnec t Only
Expiration Date U' \ \ I)
Constr Contr. Number \\'L~
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A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
$
2,00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20,00
Limited Energy/Comm S 36.00
Owners Signature:
DATE: 7-.28...q1
RECEIPT H:- /.r" ~h '1
RECEIVED BY: ~~
D.
Branch Circuits
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