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Electrical Permit - Permit# L22-11 - 2259 Lilac Road - 2/9/2022CITY OF SPRING PARK OFFICE USE ONLY CITY �/ SPRING I1R Electric Permit # L, Z7--4'1 ELECTRICAL PERMIT Date Issued: zb;---'— Receipt # PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Quantity DESCRIPTION OF WORK Wiring of boiler replacement FEES subrrotal ( A. MINIMUM FEE PER INSPECTION TRIP Includes up to 4 circults if more than 4 see Sec. D below $ 40.00 per 40,00 Additional Inspection trips for Reinspection/Bonding/Equipatential Plane/etc. $ 40.60 per B. RESIDENTIAL One and Two-family dwelling urifte Up to 3 trips includedin fee 1. New dwelling Unit, up to and including a 200 amp service $ 125.00 er unit 2. New ©welling Unit,201 amp to 400 amp service - $1T5_tl0 per unit 3. Existing Dwelling knit, additions, alterations, or repairs up to & including a 200 amp service, fees as per C 3 D below but not to exceed $ 125.00 per unit I 4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service fees as rimer C & D below but not to exceed S 175.00 oar unit 5. New or Existing Dwelling Unit, 401 amp service or above See C & D below C. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICES, GENERATORS, �- OTHER POWER SUPPLY SOURCES OR FEEDERS TO SEP. 3TRUGTIv#RI=S 1- Up to_and including -a 200 amp service _. $ 501.100 each 2.201 amp to and including 400 amp service $ 100.00 each 3. 401 amp to and including 800 amp service $ 200.00 each 4, 801 aTp service and above _ - — $ 3ti4.00 each D. FEES FOR CIRCUITSIFEEDERS 8 TRANSFORMERS 0 to 200 am $ 10.00 per circuit — Above 200 am $ 15.00 per circuit Transformers up to 10 KVA $ 20 00_each __— Transformers over 10 KVA $ 30.00 each E. MULTI -FAMILY DWELLING$ Each dwelling unit $ 50.00 per unit F. ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 54 VOLTS Each System Device or Apparatus @ $ .50 each [ State Surcharge .0005 of the permit fee (minimum of $1.00) 1.00 41.00 TOTAL AMOUNT DUE (Do not forget State Surcharge Fee) You must call 9 2-442-7520 when work is ready for inspection' Describe Proposed Work: Wiring of bailer replacement Separate Permits are required for any building, mechanical, fire, or plumbing work. 5� 2 &tz- - 1-" PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES Job Site: Street Address: 2259 Lilac Rd OR Legal Description: Lot: Property ID (PIN No): 17-117-23-33-0153 Block: Spring Park, MN Zip: 55384 Subdivision: Applicant is: Contractor: 16 Or Owner: ❑ t f}--7799 vz Contractor/Company Name: Pronto Heating & AC License #: Address: 7415 Cahill Road City/State: Spring Park, MN Telephone: Office[Home: (952 ) 835 - 7777 Mobile: ( ) - E-mail: permits@prontoheat.com Fax: () Builder/Owner Name: Address (if Jiff. from Site): Telephone: Office/Home: (} E-mail: City/State: Mobile: () Fax: ( ) - Zip: 55384 Zip: I HEREBY APPLY FOR AN ELECTRICAL PERMIT, AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE; 1 UNDERSTAND WORK IS NOT TO START WITHOUT A PERMIT, I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING: (1) THE CONDITIONS OF THE PERMIT, (2) THE APPROVED PLANS AND SPECIFICATIONS, IF NEEDED (3) THE APPLICABLE CITY APPROVALS, ORDINANCES, AND CODES, AND (4) THE STATE BUILDING/ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE, AND BECOME NULL AND VOID IF WORK IS NOT COMPLETED WITHIN 12 MONTHS OF VALIDATED DATE AND, THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDING/ELECTRICAL CODE. Signature: (,e1¢�Q, �ac�r�rr Date: 1 /31 /2022 PAYMENT MUST ACCOMPANY APPLICATION (Be sure to include State Surcharge in payment) o Check attached — Check # MAKE CHECKS PAYABLE to MNSPECT EMAIL: electrical@mnspect.com FAX: 952-442-7521 MAILMELIVER: MNSPECT, 235 West First Street Waconia, MN 55387 • is Master Card -- Account Number Expiration Date CSV Credit Card Owner Billing Address: Street Address City, State �'C-r � cs�- � l c •� Payment Authorization Signature (REQUIRED) Print Name on credit card (REQUIRED) Amount to be withdrawn Zip Code MNSPECTLLc 952-442-7520 Fax 952-442-7521 888-446-1801 Sold To Pronto Htg & Air Sales Receipt Date Sale No. 2/3/2022 7547 Payment Method Check No. Visa Description Qty Rate Amount Electrical Inspection/Permit Fee - L22-11 - 2259 Lilac Rd State Surcharge - Electrical 40.00 1.00 40.00 1.00 Total $41.00