HomeMy WebLinkAboutPermit Electrical 1995-7-11
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, f. f ~ .......- Th, e, following project as submHted has the following
, 9 5- oD .-J ' zoning. and does not require specific land use
, 'approval. l-Dt2-
Zoninp
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3. COMPLETE r'.t;t; SCHEDULE BELO\l
EU;:CTRICAL PERH(/ APPLICATION
City Job Number ,oO~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCIURTIfN ,
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New Residential-Single or
Multi-Family per dwelling unit.
Service Include9:
A.
Sum
Items Cost
$ 85.00 _t S'~
$ 15.00 IS ~
I
1000 sq.ft. or less
Each additional 500
sq. ft or portion
ther:eof
Each Manuf'd Home or
Modular Dwelling
,Service or Feeder
JOB DESCRIPTION
.".
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
(
$ 40.00
B. 'Services or Feeders
Installation, Alterations
Electrical Contl:actor"'ll-P~ jJ73.J..J ITGe7il[rc or Relocation:
Address f'-o~ (S8)r S-oqC( 200 amps or less
201 amps to 400 amps
Phone ~S3- bod). 7 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
CONTRACTOR INSTALLATION ONLY
2.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City ~c..
/
Supervisor License' Number ;-:<"&[7 S
Expiration Date i&/' (- 9 r
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 4c:;J.s;s-o
Expiration Date ((Jr (..-9s-
O;:JO~~
~ D.
Owners, Name _!<MrlVi- .J?1/j') >c JJ-er
AddresdOd- 0J, ~7~ ',.J-j
Ci t~ ;2J I /)Jejlhone 7~-/7-- (t;{)S5
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
O~er 600 amps or 1000 volts see "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
0\lNER INSTALLATION
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 100, tf)
5% State Surcharge S. 6b
3% Administrative Fee 3. 6V
TOTAL I {)5( _ ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--~-------~---~--~--------~-~----~----
DATE: "7-/1- IS ,
RECEIPT #: d I >:r -z..7g .
RECEIVED, BY: j...J A1J~""""---