HomeMy WebLinkAboutPermit Electrical 1999-7-13
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e 0 owing project as subm.itted has the following
zOning, and does not require speCifH' d use /" _ ~ '. ' ,. W7r. y'fC.t/I-fO/~ rD
approval. ('.."'" r (T"U~"'" y ,~ r . ~
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Date 17- / ~ - Cj "1~ '7ftJ t) J3 e J + / ; rut... ~"3
Aulhor~~d sfJ.Kibf.b STREET JA f ) ELECTRICAL PERMIT APPLICATION
SPRIN'GFIELD, UJili(;{Jlf'\f! if Ji 00 0 Q " , I
INSPECTION REQUEST: 726-3769 > () :> ~ ":"'P'.,._ City Job Number -,-( -1,0;-
J ZOc::c~..
OFFICE: 26-3759 .~. ::,)
~ :s:: .c-l , ,.
0; <'" ~ ;90tt~LETE FEE SCHEDULE BELOV
O' OJ :0 rn (..~~ .
o t;; A,j ~eit~lResiden tial-Single or
"t> mAn"!.. .
~ 0 0 -Mui i: i-Family per dwelling uni t.
;:g 0 ~ ~ervice Included:
.:0 ~ Cl ~ . It ems
. 0 en m '.
Cl>:On;J
. CD.~ >c000 sq. f t. or less
~ :I: ~ach additional 500
Cl :0 f ..
O ~ msq. t or portlon
Z .~ ."thereof
gJ ~ ~ach Manuf' d Home. or
." -f mModular.Dwelling.
0-
:0 ~ ~Service or Feeder
0:0
.~ ~ervices or Feeders
Installation, Alterations
or Relocation:
v
:r'
. 1. . LOCATION OF INSTALLATION
~ . ~l-~.. .JJ=-.3 '
LEGAL DESCRIPTION,
1'7 0 ~ rs 60 6 .;;140-7)
JOB DESCRIPTION
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 ONLY~
Electrical Contr~ctor11arn'" &.~f. SI''j'~J
Address ;loy J"tI+C~ 9t-r-u:t "
Phone '3Y;l..-/~tj
Supervi.sor License Number -LbZI.IfP T
1(') ItJ 1/00 (j
/ (
Constr Contr. Number
Ci ty P~f4~
Expiration Date
Expil~ation Date
Signature_of '~Electrician
.t:~. ....
ow~rs N:me
~B~~
Address 3045, ~ \f~
Ci ty~~." 0 "'. Phone
OVNER INSTALLATION
The installation ,is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
--------.--,--l-------~-----------------
DATE: 7//1/191 .. /)
RECEIPT # ~ O'?'fll?-) ./1 # I I /
RECEIVED BY: A.Y WA.Y'
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
o ~~6rinect Only
o 0 - .
2ocoOe.Q.~
3 ~p "'Ei&;r:elry Services or Feeders
0- -. -< :tJ Q) ":2: m
<D ~ 0 cDre!:t.alzation, .Alteration or Relocation
o:'_c ~g ~--I
<DO::r3~ <DO
a :. ~ t\) Ol ~m~. :::S"OT less
~, ~ ~ ~ t ~..Jj> to 400 amps
~ Q CD g: ~~~4 ~1 to 600 amps
00 t8 ;: ~. m.r~~6~0 amps or 1000 vol ts see "B" above
002 -:To-:::I
0:) O:TO~_
8 s~.~. ~~g;j~ircui ts
1\)::.:_<DCCc;:<D-' ..
~~.~ ~~~ ~t'teration or Extension Per Panel
~ 2 - .... <D .-.
~o<D-.....t\)CC<D
__~:T;o-',Q
. ~-o ~\(4j@~~uit
g 5" s.~~ g<g!i tional
g: ~ m ~ictGiicJ: or wi th Service
:) ~"fl~~eder Perm~ t
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
,.
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder,not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting Ol $ 40.00 1f.rtO.-
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE -.:h ~,- .,
5% State Surcharge ~5'/fO
3% Administrative Fee &., ~j)
TOTAL 1> ~~
if/; €'~, ,