HomeMy WebLinkAboutPermit Electrical 1997-7-11
I'
,
i
i
.,....
--. - --.. -_.~.
-,
.
fI
T~'" {('\"owing pr~loct as subrnitt~1d' h.1.s tho follov,
~c '-I. Hnd dol.~S not rc..quira Gf.I..x:illc lend UC3
"rJ';i(,II!l.1.
225 FIFtB STRErn' , II /'
SPRINGFIElD, O~" 97477 Zonm" r)-
INSPECTION REQUEST: 726J;.'J76cn~ 11-01
OFFICE: 726-3759 A th rl "~81 ~
u 0 Zgv gnatura
~~HrLeTe Pat SCHEDULE BELOV
~~})~OF .1N~TION . A~
. ' (f/JCiFle-.iJ€rNdIT/JIIi5e{)
LEGAL SCRIPTION
~,MD. 0\Q1-w ,
~LEC'1'RICAL PERKIT APPLICATION
Ci ty Job NUllber q 01 o.t:)n
~
Nev Residential-Single or
Hulti-Family per dvelling unit.
Servite Included:
Items
Cost
Sum
. JQ~ DESCRIrf.I9";ul .'~..:L /. 1000 sq.ft. or less
jrlV~~ g~A, )qoV~t1~je~TV ~~ Each additional 500
.t. I ~/1QIm{!fe7fMffl<. sq. ft or portion
I 1r1~~ Permits are non-transfe,rable and expire thereof
, if work is not started within 180 days ~ Hanuf'd'Home or
of issuance or if.work is suspenlled fO~I~1\,\~'1'4'11.il.4ular DvelUng ..
180 days.. Oit\C~:' l..\.~'/..~\~ p.\II11IS'Se'rvice or Feeder
~ ~~I\ S'rlfol . \-lIS ~~ a~ '
2. CONTRACTOa INS~N ~~O~~\ ~ootlf.D~services or Feeders'
~~~~~B~ Installation, Alterations
Electrical Contracto~'~~ #~. or Relocation:
'l' ~ Y\ 1/ t,o\J\toII'-' :'I1'~?i .
Addressl10 W. 1 jJ ~f1C ~I! .0.0 O~ 200 amps or less
.2f-#' j ,. f'" tI IL~ 201 amps to 400 amps
City ffi, Phone 1..,7.lYIP% 401 amps to 600 amps
III ~ c: 601 amps to 1000 amps
Supervisor License Number ~7_aI Over 1000 amps/volts
. (Olllq7 Reconnett Only
Expit8tlon Date
Constr Contr. Number OZlOqq
I),I,~ Jell
$ 85.00
$ 15.00
-
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Si~~.f Supervising Electrician
" / Af3~
Ovneu ~.!<me!<. '&lMZoe:C
Address fD ~"^-' 437
Chy Wrkf ~ Phone St;?,/fb-3t,. 1720
OIlNER INSTAL~'h~~7D;?L\- 1
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps. $ 80.00
Over 600 amps or 100v vo.Lts see "II" aoove
D. Iltanch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
L $ 35.00 jS,OD
$ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or tent.
.
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
...35, 00
, . '7 5.
" nc..,
=?'7. ~f)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Ovners Signaturel
DA;;;~--------~--~------~:\\~~--~- 5.
ReCElf'I I: ~ ~ ,\' ' . '''\ \k0dJ
RECEIVED BY: ~ ~\:)O _\ ~-
-.. - '--.. .".
......... .