HomeMy WebLinkAboutPermit Electrical 1995-5-18
The, following project as submn1ed h;lS tho follo\\
zonmg, and does not require !ipecific land u"'e
approval. C- ~
Zoning L,,-D
Dete<;/ \'t,~Ch'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477Authorized Signature
726-3769
1. LOCATION OF INSTALLAiZON
~2.q., .{ J". 7 ~L
- - - ~
LEGAL DESCRIPTION
r7fJ2- ;1,< 42.. oe/OJ'
JOB DESCRIPTION
e.x:7'tStYl> F/Irl'. At.N?
Permits are non-transferable and expire
if ..ork is not started ..ithin 180 days
of issuance or if ..ork is suspended for
180 days.
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ELECTRICAL PERMIT APPLICATION
'-'~ 1..'1 .l......b Number
3. COMPLETE FEE SCHEDULE BELO\l
950~c::'f
A. Ne.. Residential-Single or
Mul ti-Family per d..elling unit.
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
Modular 'D..elling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
I f/2A - Ir Installation, Alterations
Electrical contract?L4!!dbU,<fif.KFnfMhr; Relocation:
Address 3/b. s;, S'{J.nl {7 ,200 amps or less
~. 201 amps to 400 amps
Ci ty<).vz.<, . Phone 7<(7 ;l..P8:i1 401 amps to 600 amps
I " 7 <{ 7' 6 I 7<1 601 amps to 1000 amps
Supervisor License Number "'5755' .s-Over 1000 amps/volts
Reconnect Only
Expiration Date 10..9:;-
Constr Contr. Number 7l'O~~-
Expiration Date ,1CJ- </..;
Signature )If Supervising Electrician
do 1/Rllk:~
O..ners Name ;c'~ r /;tz::..
Address .~ 2..a. L". 74l!J. . rT.
Ci ty Phone 7'J,.~-S<2J/?;(
01lNER INSTALLATION
The installation is being made on
property I o..n ..hich is not intended
for sale, lease or rent.
Ovners Signature:
------------------------~-------------
DATE: S-//S/tfi,r
RECEIPT 1I: ';.-74'2.d,
RECEIVED BY: '#,y._,
$ 50.00
$ 60.00
$100.00
$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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Btt above
Ne.., Alteration or Extension Per Panel
"
One Ci rcui t ___ $ 35.00 . ~ 5. c9-D
Each Additional
Circuit or ..ith Service
or Feeder Permi t $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
TOTAL
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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