HomeMy WebLinkAboutPermit Electrical 1997-10-10
\
. ..
If "\,'
zonina, s.ncl 6083 ,.Ol. f;:.H~~~Ir\J ....',.J. ;... :. ..-. ,-.-.....
ap"rO~'i;41.
." . Zonina YY\&Af'
DataJ/o-I 0 - cq \~~ ~O?-.~
225 FIFTH STREE'D\uth~nature~~ \r .~~ \c. ~O\
SPRINGFIELD, O~~ ~~~~ S~~\.l .~\S ~~~\Il\ rO?-.
INSPECTION REQUE~,--\\S ~~37~~Q~?-. \ "'\QO~~Q
OFFICE: 726-375~p a~t~Q ~ ~~~\"
~\)\~Op ~~n O?-. ~ 3. COMPLETE FEE SCHEDULE BELOlJ
1. LOCATI~OF INS~~ON ~~?-.\OQ.
///,;;2~ /-~r.<' ~ ~t>.'{ . A. New Residential-Single or
O~~ . . Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
JOB DESC)JIPTION
. #./Cu/ -.-1 ~l/5'? fr.J/ ~ 1,,(/ /' j/ &
Permits are non-transfera~le .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 contractorJll~~~~~
Address PD. 601. 1~3~3
Ci ty, g() It. VY\ Phone M~-J)8.5-J.j8'(q
Supervisor License Number J:) :<,3-;~
Expiration Date
J()-/-qg
Constr Contr. Number o%OStf3
Expiiation Date
.~ -/g-qq
Signature of Supervising Electrician
~L # n_~
D.
Owners Name~LK"\-b\'VUs. ~
Address I 60. S. ~C.l'h'c.. ':h~V\ / p(). ?:'ox LJSl
'--'
Ci ty YVloywYlnl~ Phone 56?:>-~~<iS-oOCflo
01JNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Signature:
----------------------------
DATE: /0 - /O-q 7
RECEIPT #: 01. 7 (, If I~
'hn,.DT""" nv. 1<0
ELECTRICAL PERMIT APPLICATION
City Job Number
97//h6
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
Modular. 'Dwelling
Service or Feeder $ 40.00
B. Services or Feeders .
Installation, Alterations
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' "or less.
201 amps to 400 amps
Over 401 to 600 amps
,Over 600 ~mps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see, uBIl above
,.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Per.mi t
$ 2.00
no t included)
E. Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'T'O'T'AT.
$ 40.00
$ 40.00
S 20.00
$ 36.00
.#?DOrJ
.C: ./'01")
a.. ,.....,r?
/O$OCL