HomeMy WebLinkAboutPermit Electrical 1995-1-20
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SPRINGFIELD
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The. following project as submitted hias the folio .
zonIng, and does not require specific land use Win
approval.
225 FIFTH STREET Zoning 1-1- :(
SPRINGFIELD, OREGON 97~ /-W-ctr
INSPECTION REQUEST: 726-.Ho'f
OFFICE: 726-3759 Authorized Signeture tJ (\I'-
3.
1.
LOCATION OF INSTALLATION
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LEGAL DESCRWION
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JOB DESCRIFTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION 'ONLY B.
Electrical contract~~ In.Q[:::::' floe
Addressm~\.. ~m\.~
Cit/r.J. Y.lQj\O Phone~c:o.m~a
Supervisor ~icense Number ~ 1\ f\~
\0. \,C\S-
Constr Contr. Number (~2..C\l 0
Expiration Date \ 'A. . \0 .CJt\.
Expiration Date
Signature of Supervi~g Electrician
ee~(2<- r;JB..-,~ .
u I 0. I ..,. D.
Ovners Name DL~ Wl'l~'
Address 9 9. < $"". A.
Ci ty Sf) (2",/
Phone
OVNER INSTALLATION
The installation is being made on E.
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
----------------
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DATE: r-. / '7""".)
RECEIPT II: 1- I'
RECEIVED BY: '7
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ELECTRICAL PERMIT APPLICATION
City Job Number
CUMP~L~ y~~ SCHEDULE BELOW
000j z-b
A.
Nev Residential-Single or
Multi-Family per dvelling uni t. "
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00.
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modtilar'Dvelling
Service or Feeder $ 40.00
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 50cYJ
$ 60.00
$100.00 /Ila (r)
$130.00
$300.00
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t /5"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 ,,?(J.CD
not included)
40.00
40.00
20.00
36.00
$
$
$
$
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