HomeMy WebLinkAboutPermit Electrical 1995-5-15
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3. COM~~r~E SCHEDULE BELOV
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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1. ~10CA~!ON O~., I~~!~~~~O~ ~~l
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_ LEGAL DESCRIPTION J /
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JOB DESCRIPTION
S~~,.c ~~ / 2..~~.e C/,Ii'{.
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
/ 2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor N~ ~i)e./~
Address b"S // ~h.()
Ci ty 5>~,A?~,/7~L Phone 7 ~~ 71'2/-
Supervisor License Number /3023 Y
Expiration Date /e -/ -, j
Cons tr Con tr . Number "2. 5'at::.
Expiration Date 7 -/~ -TS-
V~:::;;;iSilt Ele::ian
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Ovners Na~e "J"A (i."~.:._ _l-lI?h/" ,-"
Address l/~CJ-.C;: (i aUVL.l} lL{.{, Srt----
City(~- '~ 1~.:~.1iphone '/:J-C, ._, Yf,) 3
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o INSTAuLATION
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The installation is being made on
property I ovn,which is not intended
for sale, lease or rent.
Owners Signa tl1re: _'
J0') ..A /J~ ~,/../
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----~-------~-------------------------
DATES) ~ /~ Jff r
RECEIPT #: ., {i.3 'f!,-f
RECEIVED BY: r/J X.A...4
.'-t': '-
ELECTRICAL PERMIT APPLICATION
City Job Number
9~o ~2-.4
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A.
New Residential-Single or
Multi-Family per dwelling unit.
-Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof -
Each Manuf'd Home- or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cost
Sum
$ 85.00
.....
$ 15.00
$ 40.00
200 amps or less t..-""' $ 50.00 $0 0-0
,
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00 ,-
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Ove~ 401 t~ 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
,.
,
One Circuit -1J1? $ 35.00 x..,..1"FJr.
Each Additional
Circuit or with Service
or Feeder Permi t -5- $ 2.00 1f;6D ;>
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~t) ,00
~s..o
c, f ~;:
40.00
40.00
20.00
36.00