HomeMy WebLinkAboutPermit Electrical 1995-10-25
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SPRINGFIELD
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225' FIFTH STREET,
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonino P, K I'l\ \.L.
r"". \O\~5(.9..S
97 411'Zrthorized Signature P-D
726-3769 '
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION n D3 :$5 OOuo2.cro
~ 7,n'" ~ A S~_+ .
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractort:L,;I~ ~/~lK,~.j[~
Address,~q (h.R,nle... ePeek. 7)1>
Cit~~/e. Phone .$'7-~:l(.O
Supervisor License Number ~03~~
Expiration Date 01 t"X?7nier 9'7-
Constr Contr. Number 997(..:?
Expira t ion Da te 01.J;; I", tj (."
Signature of Supervising Electrician
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D.
Ovners NameJ.e.s ' gp-e,,'vt:PP ,t'(7.A'-2f~~
,
Address.30t; '-~n.I A .s~
Ci ty~"V"'1&)o/. o/-phone_
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
'~~~~~llST~5t <15 ------------------
RECEIPT fr:O'-'L..1Lo/S J N . M
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q 51/04
...
3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling 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 Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
Reconnect Only
,
$ 50.00 ~,OO
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or- less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" abov""
Branch Circuits
"
Nev, Alteration or Extension Per Panel
E.
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00 ~
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatioll
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
,3% Administrative Fee
$
$
$
$
(pi 00
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