HomeMy WebLinkAboutPermit Electrical 1995-8-18
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The following project. as submr\+ad h:3':'. the foibloJing
225 FIFTH STREET zoning, and does not mquin" iC,;,;-,'.Er:.ECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approvaL " q 5 I ? I ()
INSPECTION REQUEST:. 726-3769' z' 'fi)~ City Job Number ..:::::> V
OFFICE: 726-3759 Qr1Ino ~
00.t9 <J) / \ C( ,CftJ 3. COMPLETE FEE SCHEDULE BELOV
1.. LOCATJON OF INSTALLAT!9,N '-ed Si natura" dM~ . "
/2'7/ (~E/uTeAJ/JJ/ fJ-L ..ot~i... 9 ~New KeSHlential-:Slngle or
Multi-Family per dwelling unit.
/ LEGAL DESCRIPTION Service Included:
_/O~ d(, 44 154~ Items Cost Sum
JOB DESCRIPTION
-ALAI? iI'I 0t?~sfE7n
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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.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor/lIrr...')Ft1.1 fC!,.rl~ ..-s~,.sten..s
Addressf.l)O/ flta9J?L 0lJ1:.EJ2."'r .. q tJ=".I)_
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Ci ty Ell ('"11;:;:.-VP OJ?.- Phone~{;>.3. 3J~; /.3/.3
Supervisor License Number .1l- /7/j't ...11.e
Expiration Date If) ~j - ql/-;
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Constr Contr. Number .~-tjtf~~
Expiration Date 4- -/ -q~
Signature of Supervising Electrician
/--T'~ ~ V~
~Name ~j '-PEJef2LI
Address ):J.. '7 I C_blJTEUflJ l-AL btv.D
Ci ty3md.Jh~\EUJ Phone So~>. 7:d,,{P~::l1
OVNER INSTALLATION
The installation'is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~~~-~;:-)'6-~-tf:;-----------------
RECEIPT #: i!J/ d 7 <-f I -'
RECEIVED BY: N fYY\.l>>(
B.
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00 .
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.Temporary Services or Feeders
Installati6n, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D. Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res I $ 20.00 'p{J.(){>
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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