HomeMy WebLinkAboutPermit Electrical 1995-7-25
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Theiollowing project as submitted hasJhe followi
zoning, and'does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonina vf)P...........
97477.Jate'!,-2F,--'1'(
726-~Mb~zed Signature rJM
ELECTRICAL PERMIT APPLICATION
Ci ty .Job Number q L-f I } d- {
(J\ ('rIA /},....cl 1'\/\ S' 't..A' D. Branch Circuits
Owners Name~ I "--fU::tV--- U ' \ OI'\.Z...f1 ~n
Address 'K(00 ~~ {L L~ eLI/Aew, Alteration or Extension Per Panel
c:: /l CJ 1c..d"fl '" c:(/ One Circui t
Ci ty,-. lfj~ . . Plione /L-/& --U'-f...JO Each Addi tional
Circuit or with Service
'OVNER INSTALLATION or Feeder Permi t
3.
L LOCATION OF INSTALLATION '
_ ~ &J4len/li~ / S#r;"q.(/e/J ()R. 11'177 A.
'" tJ '
/'/ O~ D~~TIy SOl )-()O
{2JJOB PESCRIPTION "
Y)~ ~ UGU.-
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspe7de for
180 days.
2. CONTRACTOR INSTALLATION 0
~ctrical Contractor
Add'];~s
Ci ty ""
. ~.
SupervIsor 1.,,1
e
Number~
~
Signature of Supervising Electrician
The~installation is being made on
property I own which is not intended
f~rsale, lease or rent.
OvnersSignature:
~~T~~--~~-;~~t)-~t1~---------------
RECEIPT #=0/ >fR:q I
RECEIVED BY: 10 ~ery- .
COMPLETE FEE SCHEDULE BELOW
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
,Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
Over 1000 amps/volts
R~connect Only
\,../"/
$ 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 amp~
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80~00
volts see "B" above
,-
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not-included):
-Each installation
Pump or irrigation $ 40.00
Sign/Outlin~ Lighting $ 40.06
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE $ 50 .00
5% State Surcharge Z<~-O
3% Administrative Fee 1'60
TOTAL C!)'L-f. OU