HomeMy WebLinkAboutPermit Electrical 1995-4-25
Zoning, and dOGS not ~:qS~t mmed. ~"S the following . ':-::.1" ~.,
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225 PIFrII STREET Zon' /VlD/7 ELECTRICAL PEItKIT APPLICATION
SPRINGFIELD, OREGON 97417 Ing i;::../ n ~ ^?
INSPECTION REQUEST: 726-31~<l.{>C,.{' City Job Number 'v\, 0D...Ji ___
OFFICE: 726-3759 Authorized Signaturo I I M..
~ '3' Cf"v", ~ SCHEDULE DELOll
1. LOCATION OF INSTATT ATION
ISf' li)~ l{ A I, (.1,u"lA
Il
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JOB DESCRIPTION
_REL)} f2.E.' TE:'N ANT S q) Q.E.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor S('{)N8J.... ELlif:rR-1C-
Address Po B'1x' ~7(,,'!;.'
97'fo-;;J
City EU/~8JE Phone t,S(",-Ria/.::J
Supervisor License Number .3;)</-0 S
Expiration Date
/01, / 9s
-3870a
Constr Contr. Number
Expiration Date
jcJ/.;)/ / q;:;
, ,
Si~~ urr"' El~<<i"~
Owners Name I<::..'-AA1b PA0<'- PA12.-TJJ~
Address..:z.'-I 8. 1..1.+L Sr" <~'TE: II
CitYCvt.eJ€. Q7YO/ Phone ~g7-..;1L_/(",
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT i:
RE"......... BY:
1./-:;''5 -qf1
nW/i() ~ 1,1, .
rO(jU/Y
,
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
D.
Services or Feeders
Installation, Alterations or
Relocation:
Items
Cost
Sum
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
$ 85.00
$ 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
New, Alteration or Extension Per Panel
E.
5. SUBTOTAL OF ABOVE
5~ State Surcharge
3% City
TOTAL
One Ci.rcuit $ 35.00 3S.00
Each Additional
Circuit or with Service
or Feeder Permit 19 $ 2.00 38.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
_ Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
S 40.00
$ 20.00
S 36.00
73.00
3,&~
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