HomeMy WebLinkAboutPermit Electrical 1995-6-2
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zoning, and does not require spoclilC land usa
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225 FIFTH STREET Zonino'~ t.-- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477_ J --l -0,-1
I~SPE~ION REQUEST: 726-~~ll.J " J 1, Ci ty Job Number 95'"<::/ 5"' ='?
OFFICE. 726-3759 Authorized Signature ,..., M
--- :1.' COMPLETE FEE SCHEDULE BELO\l
1. LOCATION JlF. INSTALLATION ~
/?67 ~?-//'~6 rZ. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,.
LEGAL DESCRIPTION
//~~"::</4 ..(/~ /'
r
Items
Cost
Sum
JOB DESCRIPTION '. . ",.z:"
M;q~ v~ 5/y~
I
Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if,work is suspenaed for
180 days. '
1000 sq. ft. or less --- $ 85.00 89-
Each additional 500
sq. ft or portion f7F;'
thereof "'3 $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2..' CONTRACTOR INSTAL,}:1ION ONLY B.
Elec t ri cal Co~ trac toC1),LJfJJlS E/.Q~
Addres~_\).l\).~ 9A _
Ci ty kUl- ~ 01'h Phone 111o'1~
Supervisor License Number 8 '3 5~
'Expiration Date, t~. \.~
Constr Contr. Number ~ \(9-;:2. 31~'
\\). ~.~
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
Temporary Services or Feeders
Jnstallation, Alteration or Relocation
Expiration Date
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
Signature of Supervising Electrician
~~~ ~'~~'
owners~ame ~~ ,~C7'7-6"
Address2./~ '/ .P~Z::>
Ci ty e5JiJtt:;o~ 'Phone '7 V.>~.~
-, ., ~/t? - ~ ,/
miNER INSTALLATION 7
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
~ircuit or with Service
'or Feeder Permit
$ 35.00
$ 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Lind ted Energy /Comm $ 36.00
5. SUBTOTAL OF,.ABOVE '/ ?O. ~
5% State Surcha~ge ~. ~~
3% Administrative Fee ~../t1>
TOTAL -.L$ ;, A ~
Owners Signature:
DATE: 6 ..;:< '"' 9C:;-
RECEIPT 1I: /?~~
RECEIVED BY: ,.~,