HomeMy WebLinkAboutPermit Electrical 1994-9-14
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SPRINGFIELD
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The following project a. Gubmttt e 0 ow
(3. P, -71 9 L./ / 0 *~:.nd doe. not require speeiflo land U1lG
225 FIFTH STREET Zonlna We. ELECTRICAL PERMIT APPLICATION
~~~~~~~;oiEg~~~~ 9~~~~3~ Q-/4-fi,-{ City Job Number q L.{ I rf11
OFFICE: 726-3759 Authorized Signature f) f?\. . -- -- .
~. COKP~i"; rr.r. "CHEDULE BELOII
1. / ~L.9.C.h.TW~~,!NSTALLATION
~.~~~~~, A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
r> ( J?o..'~' 1000 sq. ft. or less
l<e\MCC>~(-~""'''' Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular-Dwelling
service or Feeder
LEGAL DESCRIPTION
I 70 ?i/}c( Z- ~ /) JJ D4
I, , JOB DESCRIPT~O~
f-l+cL,.-<V\ L-iV'l'-"c\'
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION 9NLY
Electrical Contractorc:!ROL,LJ U..lfoVj z.(<'t.tr:c...
Add ress P.o Be;<. ??r-d.~ I f~t",-~;ole a,?'(,)';;.
City. J'~ elAe Phone '''l:3~73
Supervisor License Number ?/b9-VS
Expiration Date IC)-~~
Cons tr Con tr. Number 0Js "'i/O
Expiration Date ~-7~
Signatpre of Supervising Electrician
{,i.)d~. ~
Owners Name VcV\()e~'V\.
Address <~
Ci ty S~r:",~ (;.0 Phone_7Vc. - -nG.:3CO
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: 'f -14 -'1'-
RECEIPT 11: (L11 0 "'I .
RECEIVED BY: (l{j~ ~
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Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
S 50.00
$ 60.00
$100.00
$130.00
S300.00
$ 40.00
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C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
E.
One Circui t I $ 35.00 '35.00
Each Additional
Circuit or with Service
or Feeder Permit -L $ 2.00 ~.oo
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'/3.00
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