HomeMy WebLinkAboutPermit Electrical 1995-8-1
The fnllowing proi9ct as submtttad h,.s the follow!
Zor: . ,.~.;, and dO;J~ not requ:re specific land use
al:,iJ(vval.
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
9747~'dO
729Ailtll/i&ed Signatur.
$1;.(
I. LOCATIQN OF INSTALLATION
_J.1~1~O.~A;~~.au..Hft) H
,tlD~~ION O,?(XY)
JOB DESCRJPTION - i ,.'
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Permits are non-transferable an expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor,.C.JS PDOcifrlll"\l, (D1lQ.,.
I I
Address PD. f1d /4-21-
~i
.
City Phone
Supervisor Li ense Number
141-i1-8b
IhZfoS
'f'll'
"
,-
Expiration Date I D - I-Cl:)
Constr Contr. Number O~<;JLjq
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
II -I -q ~
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
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Ovners Signature:
~~TE;-----------~:r1:f~--~--~-~~----
RECEIPT 1I:~_ _ \~I,,\lJ
RECEIVED BY?\l\l~ ){~\
ELECTRICAL PERMIT
City Job Number
APPLICATION
C\S \1J.Q~
3. COMPLETE FEE SCHEDULE BELO~
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft, or less
Each additional 500
sq. ft or portion
tnereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
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
One Circuit
Each Addi lional
Circuit or vith Service
or Feeder Permit
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Items Cost
Sum
200 amps"or less
JOI amps to 400 amps
/2::;( :;;erJ2:~;g~/~j~:~ ~~6 ~~p~O~/~b~o
~ ~O/I'. fL..? Branch Circuits
Ovners Name n'IJ" (i(\ , H-t..ad, L ~
U' Nev, Alteration or Extension Per Panel
Address ~SO Il' A, .sJt.
Ci ty~t~o~d ,_Phone '14"''-:'645/
. O~R INS~ALLATION
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
$ 35.00 .is,QO
$
2.00
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