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HomeMy WebLinkAboutPermit Electrical 1993-6-11 . t .. SPRINGFIELD " . , , ~ LI ~~ir:~~:~~~ON 97477 '---~s..'-irb:7 ' INSPECTION REQUEST: 726:';3169,c:s:c,1..':"'" 0+- OFFICE: 726-3759 - Q 3. 1. LOCWPfl OF INS:r4LLATION t-'_ ,/J{O'--\........ r= l-\r\ N\(L~'-"\\If\ I ~~ DESCRIPTION ~~ I;::::.{Y) n I( LP, -.-JOB DE~~P'tION ~ ' Lo AY\ ) \. Yl1 !-. \..U? Perm! ts ar - n~-transferable and ex i e if work is not started within 180 days of issuance or if work is suspended for 180 days. Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician \( /2,kt'_6 ~ ~~p? . ". \'\./ h(,\ - D Owners Name~~ ~ ~ 1'\\\\ <<}'2-- . Address~-::{;,- S \31-j,a.'f:1u]J11n, CiJ00G\ q)Qxttl\ Phone r&-b- fRCf) O\INER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent, Owners Signature: ---------------~-[-----T-. -------- DATE: ~ 0 ./ ' LJ::"'-<." RECEIPT': \_ JI _. n~-"" RECEIVED BYt -J'v..JJ .I ~J City Job Number ELECTRICAL PERMIT APPLICATION C\ ~D\~() COMPLETE FiE SCHEDULE BELOV A. New Residential-Single or Multi-Family per--dwelling uni t, Service Included: 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 $ 40.00 200 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 Temporary Services or 'Feeders' Installation, Alteration or Relocation '10- C. 200 amps or less --1-- '$ 40,00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" Branch Circuits abo;ve New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL ' 2. CONTRACTOR INS~~\ ONLY B. Services or Feeders , f)_^l ~~ Installation, Alterations Electrical Contraco '\ Q r_),l~~'or Relocation: Addressrf)IJPPi 0 ~C> nt';:'--. Prt.~)~ - - ~ Ci ty(l\ g,n on 0., Phone \ of\~ \ \10 Supervisor Licen.se Number <~,^q?.5 If), \ ,ctS.. Q. rI,~.Q ("\ ( J( A )~'-I ?;-q4 $ 35,00 $ ,2,00 ' not included) $ 40.00 $ 40.00 $ 20,00 $ 36,00 _41JPc2 ~'Z2)) '.