HomeMy WebLinkAboutPermit Electrical 1995-3-24
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The following project 8S submitted has the foil
zoning, and does not require specific land use'
225 ,FIFTH STREET approval. {2 ELECTRICAL PEIDUT APPLICATION
SPRINGFIELD, OREGON 97477, ZoninQ l-~'P V
INSPECTION REQUEST: 726:-:37o~eG-it1-.C1 'J City Job NUmber ~~ ;Z?-=3 '
OFFICE: 726-3759 ~
AuthortlDldSlgllebn , ~)'V\.COHPLETE FEE SCHEDULE BELOV
1. LOCATION ()~NSTALLATION" 7:)'
J j ~~ L..AZRi'!/~~ r-C, A. New Residential-Single or
-, -,. . ',' Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/7"'ttf'~"27"'2/, ~r//.2~
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JOB DESCRIPTION
W4~~t;-- ~."1 ~~ ~.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
I Modular Dwelling
! Service or Feeder
Items
Cost
Sum
--- $ 85.00 $9.. ~
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7'2-:~
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B.Services or Feeders
: Installation, Alterations
Electrical Contractor,lJfcf<alZ/~ tf;115(~ or Relocation:
I
Address A(!), ~X III
Ci tyW~J-'/~ ?71"~hone 7~? -1!d-f,
Supervisor License Number 3tlj'~ S
Expiration Date /(!J "'1-7'5"
, Constr Contr. Number ~~~~~
~xpiration Date 3-/3 -9~
:200 amps or less
:201 amps to 400 amps
401 amps to 600 amps
! 601 amps to 1000 amps
'Over 1000 amps/volts
. Reconnec t Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
. Installation, Alteration or Relocation
Signature of Supervising Electrician
,)t~/(a~~.2, ,
.. Owners Name~ ~ ~-er.s
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Address, ~?,/y/ ~~#'~' ~ ~
'City~~~/t-Phone ~/y/~
OVNER INSTALLATION
The installatiori is being made on
property I own which is not intended
for ~~le,lease or rent.
Owners Signature:
~~~~-:~----~~~~~~~------
RECEIVED BY: ~,.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.; Branch Circuits
I
y $ 40.00 t.,/h e:-?>
$ 55.00 ~
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
, Puinp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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