HomeMy WebLinkAboutPermit Electrical 1996-7-10
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The fOllowing P 'pacific land use
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning nl ~ dllit !J1J,'f-I'Wr7111! ,
INSPEctION REQUEST: 726-:UW~''''''' m '.Ci ty Job Number r!UtJBY )J[)<.AXJ(/.I
OPFICB: 726-3759.. 0
AuthorlzocI Signature .J. COHPLETE FEE SCHEDULE BELO\l 'f '(OfY?;(5
1. LOCATION OF INST,ALLATI07
'."Ora r..v ('.M1QMYlic., A. New Residential-Single or
. . Hulti-Family per dwelling unit.
11a~27q~&m Service Included:
JOB DESCRIPl';l:ON
. rt. UJJ1Jtltfl-
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
1.80 days.
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2. CONTRACTOR 'INSTALLATIONONLY
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Electrical Contractor nTXQN I='ll='rTRTr
Address
1130 .BAILEY HILL RD #24
Ci ty FIIGFNL Phone 144-S3QS
Supervisor License Number
36145
10/1/95 .,
Expiration Date
Constr Contr. Number
"
. 66894
Expi'ration Date
S/?i/Q')
.
, Signatuore1tf Superv!sing Electrician
-~~)
owne~ Narl1 (Ju'rtlAtlvu'a U12!3
Address 500" u) (iAIl~fIA'q /
Cl ty ::;pt\J!,; d Phone
OWER I~LATION
The installatioh is beirig made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~~q-:~{~--------------------
RECEI PT t: 2:2 L/2S(
RECEIVED BY: u..-
Temporary Services or'Feeders
Installation, Alteration or Relocation
I
$ 40.00
$ ~5.00
$ 80.00
volts se~ "B" above
I
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
B. 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
~ver 1000 amps/volts
Reconnect Only
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circui ts
Items Cust Sum
$ I
85.00
$ 15.00
$ 40.00
$ ~O.OO
$ 60.00
$100.00
. $130.00
__ $300. 00
.......-- $ hO.OO ~()f)
New, Alteration or Extension Per Panel
,
$ 135.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
~ .
3~v !
-(ok
not included)
$ 140.00
$ 40.00
$ 20.00
$ 36.00
L(O rOO
2. tn)
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