HomeMy WebLinkAboutPermit Electrical 1995-1-25
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e 0 oWing projec as su m a as t e
zoning, and does not require specific land
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225 'FIFTH STREET Zonino ~,V ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 .- /' /, ' '/ I 1\7 \
INSPECTION REQUEST: 726-37lr9te ,1-1/) -q) Ci ty Job Number,!.. 4 l.Jl U U
OFFICE: 726-3759 n I\A
Authorized Signature4) I . ~OffrW'i'u FEE SCHEDULE BELOV
, . ,
1. LOCATION OF IN~TALLATION \
tt 7/ WtiT ('~~v-. A.
1\ ',LEGAL DEShRIPTION,.
LA~t.4-1O F ' ~ \ V-'-\-
~P\~ ,
I
JOB DESCRIPTION
1'703 2-7 4'~
()5Z crt)
Permits are non-transferable and expire
if wo~k is not started within 180 days
of issuance or if, vork is suspen-ded for
180 days. '
New Residential-Single or
Multi-Family per dwelling 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'dHome or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~ U )1'\;.) f klYLK_
- I
Address,4J-W .: L,.~ (p \i\ 200 amps or less
~ 201 amps to 400 amps
Ci ty FJ,)C,~ Phone. C':...L ~r;,.;).3,~ 401 amps to 600 amps
-- j , 601 amps to 1000 amps
Supervisor License Number ~,~- ~ Over 1000 amps/volts
) Reconnec t Only
Expiration Date /0//- 1S-
/
Constr Contr. Number --2 O-)<f.s~
Expiration Date
/o~ IF-9~--
Signr? of Su~y.L,'') ing Electrician
//1d ~LJ ~
/ '
Owners Name
,
Address
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I own ~hich is not ,intended
for sale, lease or rent.
Owners Signature:
~~~-'~~~<Z?~~-,~------------
RECEIVED B~ / /{ t2.~
, Services or Feeders
Installation, Alterations
or Relocation:
C.
/,
St/":
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.Branch Circ~its
$ 40.00
$ 55.00
$ 80.00
see "B" above
,New, Alteration or Extension Per Panel
i
One Circuit $ 35.00
Each Additional
Circuit or with Service ~~oo
or Feeder Permit \ ~ ,$ 2.00 ~
not included)
$
$
$
$ 36.00
8000
-4 -In::;.
.2 ,q(J
)( (,-:, 4 0
40.00
40.00
20.00