HomeMy WebLinkAboutPermit Electrical 2000-7-5
9
f~, DATE:JUL 05 2000
~ 9/0/t AMT RECD:2 $ 22.00
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'ill tt"" 1911/ CASHIER: 061
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225 FIFTH STREET D"I{; j(jlJiIj 01 '99~~"'iIt8 ELECTRICAL PERHITAPPLICATION
SPRINGFIELD, O~ 9 'b 9,(l <11,,,s '
INSPECTION REOUEST:o~~t.,. 8Cilic:1,9fO,1. City J()b Number c?O-OIO s-O -,0 I
OFFICE: 726-3759 'DIJ;j~' ""<1lJso"'i"ll
'II1fJ . 3. C'oHPLETE FEE SCHEDULE BELOV
1. LOCATION OF :g.!STALLATION "'-.J..-"':'
<;2./ /lA,"".! J~/ ~L~ v Residential-Single or
~ 'Multi-Family per dvelling unit.
tf)m1~O~\~ ,"'" Service Included: Items Cost Sum
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
fl' . Installation, Alterations
Elec trical Con trac tOrv..AvU<<1lf,d> ~/1'1'1r/Jnt.dir: IlU9r Reloca tion:
, I
Address fJ. C, !!hJl 'Io54J1' 200 amps or less
C 201 amps to 400 amps
City {oo91'/l, J Phone 5"1.q'8'4-907'i( 401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
JOB DESCRIPTION
/,'/JlJ'hd l'/l/rf4f - r"'hd>h:' ~K..un...
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
Supervisor License Number
833/JI.-E
Expiration Date
ID 7n (f)
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number Jtft.( I,KS
Expiration Date
Signarm~ rtj;~s
ovner~ Name {llf(llrl (7;. J./i)ll"f
Address P. O. flJ"" 7- t.( 2-5
Ci ty ~LfJL Phone 1 'N'- ZIL-Lt..If)
OVNER INSTALLATION
lectrician
The installation is being made on
property I 01.10. which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 070,>00
RECEIPT #: Z'-ft./7
RECEIVED BY: .JXS
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
$ 2.00
not included)
40.00
40.00
20.00
36.00
$
$
$
$
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'.40
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