HomeMy WebLinkAboutPermit Electrical 2001-10-24
The fall.praJect as submitted has the fallowing
225 FIFTH STREE~ning, ,ae~ not r~qu,"? specifi,c land use
SPRINGFIELD, OlllilWl97477 _J....~
" INSPECTION REQUEST: ~\lI~~or() /iU "'I; ,
': I OFFICE: 726-375'1)010 < " " '<', , ,\ J , '
,- ' ," 'Auth6i;zed ~Ignht~r. T?Y-f, .lli0, "rOiVrPIFTE FEE SCHEDULE BELOW
'r 1. LOCATION OE)NSTALLATI9N,: / (Jr,' "
ff' ''J-.. 0,. 'If tJ If 1ft.:. \j.-/ ~C---'- ~ 'A, New Residential-Single or
Multi-Family per dwelling unit.
Sen'ice Included:
E~E_CAL PERlvllT APPLICATION
Clt,. Job Numher 0/- 0(13/ - 0 I
, .
LEGAL DESCRIPTION
t70sZs'i3
o Z-l 02-
J7 9 /Et!1
Items Cost
SUI)!
Permits are n~m-transferable and expire
if work is not started within 180 days
of issuance br if work is suspendect"for
180 days.
1000 sq.fL or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
JOB! /fRIPTION
C/.{tI~
$ 19.00
$ 50.00
.,
2. CONTRACTOR INSTALLATION ONLY
,
Electrical' ~ont;actor (! L,:::ttl rf? j. H-tJ
B. Sen.-ices or Feeders .'
Installation, Alteraiions or
Relueation:
,-
,
I
Address '/tJ', 8r/y: Lti /, //'"
Citye )BttJEiL t- Phone cscc,ff :277~''-:'"
,.\ /
Supervis,or LicenseJNumber //
Expirati~n Date U
[
Constr. Contr. Number.
,
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
, ,
60 I amps to 1000 amps
Over 1000 amps/volts
( ,
Reconnect Only
--
$ 63.00
$ 75.00
$125.00
$163.00
$375,00
$ 50.00
" ~Expiration Date
t /194-0'
Y":2-ItJ'<", (J .-z.----
C. TemlJOrary Sen-ices or Feeders
Installation, Alteration or Relocation
Signature'of SUJlen'ising Electrician
,d'~-~{fJ~
, Owners Namc '. J:: (,f(7(), Ii J ~IW6' D.
Address?O !lor '7'fi\~
200 amps or less
~__ 201 amps to 400 amps
--.-
'-', '--,Oyer 401 to 600 amps
Over 600 amps or)nOO volts see
"B" above -~.- -~-
'\
/ \
$50.00
$69.00
$100.00
Branch Circui~s ;'
New Alteration or Extension Per Panel
'I' , \
,I,.' 1,
On'e':Circuit
;.
$43.00
Ii
',/
.-
Each Additional Circuit or witb Service
or Feeder Pe~mit $ 3,00
,j ,
,
E, Miscellaneous (Scn-ice/feeder not included)
, '-Each installation' ' ,
, Pump 'orimgation ~ $50.00
, Sign/Outline Lighting $50.00
, Limited EnergylRes ~ $25.00 '2 S-,
,I-:iniited Energy/Comm' $45.00
Minimum Eleci;'ie. Permit ;nSjleetio~e is S4~~lrChal'gcs
Cit)' ~bC7'Ie Phone '7"74'0 I
OWNER INSTAl,LATION
The installation is:being made on
property I o\vn which is not intended
for sale, lease or renL
Owners Sigl'!at,ure:
T90:M3IHSti3
: 39N~H3
~L'Tg $ Z:033M lWti
TOOl ~T 180:31~a
~869000-TO:#SNti~1
4, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fcc
TOTAL
c:;( zE-