HomeMy WebLinkAboutPermit Electrical 1995-9-20
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
ELECTRICAL PERMIT APPLICATION ,.
Ci ty Job Number 9C:;;-/$":2 Y
3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
Y? 5//7 /?/?/J,N/} 5" ~~ A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
1'.,t)"2-/"'~ .I .(!?tt:.- ~~
~
JOB DESCRIPTION
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Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Permits are non-transferable and expire
if work is not started within 180 days
of is~uance or if work is suspended for
]80 days.
2; CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations
or Relocation:
Electrical ContractorABLE ELECTRIC
Address 5511 MAIN
200 amps or less,
201 amps to 400 amps
401, amps to 600 anips '
601 amps to'1000-amps
Oyer 1000 amps/volts
Reconnect Only
Ci ty SPRINGFIELD Phone 726-6701
Supervisor License Number 3023S
El:piration Date 10-1-95
$ 50.00
,'$ 60.00
, $100. 00
", $130.00
$300.00
,$ 40.00
Cons t r Con t r. Number 92506 '
C. Temporary Ser~ices or Feeders
Installation, Alter~tion or Relocation
200 amps or less' / $ 40.00 7 0,0 (;
20+ amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Expiration Date
7-16-95
Signature of Supervising Electrician
V\/}'/4 ~ -V~
Owners Name Gor-L}i/,rV .:;;r ~ ~P;o
Address
New, Alteration or Extension Per Panel
$ 35.00
City Phone
One Circuit
Each Addition~l .'
Circuit or with Service
or Feeder, Permit
OT"TNER INSTALLATION
The installation is~eing made on
property I own which is not intended
for sale, lease ,or rent.
"
,
$ 2.00
."
E. Miscellaneous ,(Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00,
LimitedEnergy/Co~m $ 36.0Q
Ovners Signature:
DATE: ?-::?o_~ 5"".
RECEIPT #: A/"J5:29
RECEIVED BY:' './2 ~~~:lr&'" I
( /J
5. SUBTOTAL OF ABOVE.,
5% State Surcharge
3% Administrative Fee
TOTAL
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