HomeMy WebLinkAboutPermit Electrical 1995-2-21
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zoning, and does net requirespocliic land
approval.
225 FIFTH STREET Zenina ~tJ 12- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . I ~
INSPECTION REQUEST: 726-376~ate t'"Irl.. -tj> City Job Number qt;;tJ/e? '
OFFICE: 726'-3759 Authorized Signature rJ~
3. p~rE FEE SCHEDULE BELOY
1. ~/LOCATION OF INSTALLATION
-r-I 3 '5 ~&L.LI A A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
_ /70 2- ~2.. "3? o:~ <:JaY:> Items Cost Sum
JOB DESCRIPTION
CIUJV5(,T ~t: (j11'f1J.("j 76 ~.
I
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if. work is suspen-ded for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number,
Expiration Date
Signature of Supervising Electrician
,
..
Owners Name C:;7)tC.( Pl~4 Ms
Address 413.." (!Amell/ A
Phone 74 /"78 35'
City
CS..41i'\
. .
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner:&:;! ~
c;K ..-
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RECEIPT #: \J O. - ,.-!;:{);.~
RECEIVED BY: O~ \\1)'Y1
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
One Circui t ~ $ 35.00 <~~
Each Additional
Circuit or with Service
or Feeder Permi t ~ $ 2.00 26-()
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ' $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~ 'I. kJ
5% State Surcharge '! .S.r
3% Administrative Fee ~,IJ
TOTAL "?Q fL
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