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))
'.