HomeMy WebLinkAboutPermit Electrical 1995-2-8 (2)
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The; followi~g project as submitted has the fo.!l.o '
225 FIFTH STREETzon,ng, ana does not require specific land u&t:!tE'C'TRrCAL PERMIT APPLICATION
, approval ()' v
SPRINGFIELD, OREGON 97477 : I'
INSPECTION REQUEST: 726-3769 Zoning .....0 Ci ty Job Number '97'/"6'0
OFFICE: 726-3759 o~. 9/___(/ /-'5,_' 3.
~, ~ COMPLETE FEE. SCHEDULE BELOV
1. LOCATION OF INSTALLAIlUitmizipd Signature 111\1\
(117/ Ill. {lp..Jn+enn/a I ~v1.. Ht:w :R~s-:~tial"":Single or
Multi-Family per dwelling unit.
Service Included:
'LEGAL DESCRIPTION .
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JOB DESCRIPTION
1f1-...<;fal/ C5ec.u.r/l-v
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Permits are non-transferable and expire
if work is not, started within 180 days
of issuance or if work is suspended for
180 days.
Items
1000 sq.ft. pr less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSonitrol Security or Relocation:
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Address P.O. Box 21009
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
Ci ty Eu qene
Phone 461 - 5678
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 65149
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 6-28-96
200 amps or less,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signature of Supervising Electrician
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/J II D.
Owners Name (.A1 <'r'ade AnrlYnl t-h5/Xfa/
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Address L<::am e
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New; Alteration or Extension Per Panel
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm ~ $ 36.00 30,(7)
5. SUBTOTAL OF ABOVE . ::S(p. (JeJ
5% State Surcharge 1.8tJ
3% Administrative Fee /.08
TOTAL t ?R.dJR
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
Ci ty Phone 7~/- aq (;l
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
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DATE: :2:"--6~?
RECEIPT #: /h :2~?
'RECEIVED BY: /7 4- ,. ,~
-/~-~
$ 35.00
$ 2.00