HomeMy WebLinkAboutPermit Electrical 2001-12-20
..' _ lhe fOIl.prOject as ~ub'1'itled has.the following
22), FIFTH STREE~onlng, and does not require speCific tand ,use "
-SPRINGFIELD, 01Ql)fll6)1ll197477 i ;,' I ,.......:;, I ., '
, '-- ---; INSPECTION REQUEST: Za~~~Q . LP ~,-", """r Job Number Of - 0 0 '7 J Z - 0 (
',- OFFICE: 726-3759, " 'l!ir.~JDI' i :" ':,' :
~- "!,' , .: ,Dale,.. " , . OO1Ui1 C~MPLETE FEE SCHEDULE BELOW
\ .,' I. I,.,OCATION 0p.'IN!Vt'1\'L~"t't~~ , ' , ., ' ,
\.. ' '" ~J./I:l. c t1PJOu.J, /'):]", :, --"<""NewRc;identi:lI-Singleor
Multi-Family per dwelling unit.
Sen'ice Included:
ELE_CAL PERMIT APPLICATION
"
LEGAL DESCRIPTION
/70'l ZW<.
o SS'O 0
Items Cost
Sum
i'
JOB DESCRIPTION
A-bu '7 C,'(2.c.,.-l. ,<:;,
I.
Permits are non-!ransferable and expire
if work is nolstarted within 180 days
of issuance or if work is suspended for
180 days,
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each ManuI'd Home or
Modular Dwelling
Service or Feeder
$106,00
$19,00 _
$ 50,00
2, CONTRACTOR INSTALLATION ONLY
B. Sc.."iccs or Feeders
Installation, Alterations or
Relocation:
Electrical' Contractor t1J W I/./t". Y'
Address ..
/' "
/'/'
/
"'--
I
200 amps or less
20 I amps to 400 amps
'. 40 I amps to,600 amps
, I
60 I amps to 1000 amps
Over 10()O amps/volts
Reconne'ct Only
\"
$63,00' '
$ 75,00
$125,00
$163.00
$375,00
$ 50,00
City '} 'Phone_
;\ (.<
Sup~rvis,or License'Nllmljleil J\
I ".?-,t/:
E~piration Date . -/ . .
{, ,
:" ,Constr ~. on . ~=ber
........... ---.-
. . ......Expuat on Date
\
C, TemporarJ Services or Feeders
Installation, Alteration or Relocation
. ----...~~-
200 amps or less
20 I amps to 400 amps
------ .
_Over 40 J to 600 amps
aver 600 amps or 1000 volts see,
"B" above ---... ~ ~~---~~.
l\
I \
D, Branch Circuits ,
New'Alteration or Extension Per Panel
1'1 \ ! \
:'....;
Onle Circuit
'/f
$50,00
$69,00
$100,00
"'-"-.
Signatnreof Sllpen'ising Electl'ician
'......
"-
,
\
Owners Nam~ Av 1 D .;65 Tell.
\
\2.tr;l/ c. ( +- bf2-
720-. ~')Y b Z
Address 7L/ 17
$43,00 t(3
CitLSPFD
J
Phone
Each Additional Circuit or with Service I j
or Feeder Permit ' -&.. $ 3,00 h
'! ' ., .
OWNER INSTALLATION
The installation is being made 'on
property J,o\vn which is not intended
for sale, lease or rent.
, ~::JJe/:J
1:90 ~~3IHS\!::J .;. ;;..
: 39N\:!H::J
90. U$Z:O::l3tl LWtl
TOO~ rrJ3Q:31tlO
96vLOOO-1:0:#SNtlMl
1J-'
\
E, Miscellaneous (Sen'ieclfeeder not included)
j '-Each installation '
.t Pump 'or;{~gation
, Sign/Outline Lighting
I.,imited Energy/Res
Limited Energy/Comm
~ $50,00
$50,00
$25,00
$45,00
I\linimum Electric Permit Inspection Fcc is $45.00 + S~I..chargcs
TOTAL
67
l{(>'
SJb
77~
4, SUBTOTAL OF ABOVE
7% State Sureharge
8% Administrative Fee