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HomeMy WebLinkAboutPermit Electrical 2000-7-5 9 f~, DATE:JUL 05 2000 ~ 9/0/t AMT RECD:2 $ 22.00 lijjO'!Ii]{j 6'~!Ij CHANGE '. 'IJio/!,' ili]q'll h,,,, 'ill tt"" 1911/ CASHIER: 061 ~Il 1199 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 $ $ $ $ Ui,b{) '.40 '11,0 '1../"-.5/J '1.0.00