HomeMy WebLinkAboutPermit Electrical 1995-3-7
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The following proiect es subrrl~.d r?o 'r. '<
zoning, and does not reqUire spaClill". land u
225 FIFTH STREET appro\l8\ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L-Pl~ q t(
INSPECTION REQUEST: 726-376%ete )-7 _0 -)" C1 ty Job Number 50 d- (7
OFFICE: 726-3759
Authorized Slgnalure 3. "Jdo1!Pr.F.TR FF.F. !:r:RF.nULE BELOIl
1. LOCATION OF INSTALLATION
-111~ (lQJY\hmml110 \
LEGAL < WSCRIPTION
1103 d5 L-i-L-/
nl%o(J
JOB DESCRIPTION
~H~~rH\O \ r\ l\f(\'\n f1,.uotOrL.hu\Q IJJnM1;
\ (j I
Perm1ts are non-transferable and exp1re
1f work 1S not started w1th1n 180 days
of 1ssuance or 1f work 1S suspended for
180 days.
Exp1rat1on Date
\
Exp1ratlon Date
Signature of superv1si~g ~!ect:~an
/2~C7<l~
o::ners Name ~~ O-LJnl~)
Address '1.. 'll;=) 00 ~rNnC\ \
City~r~r].p'l~ ~Phone ''140- 41 01
OIINER I~ALLATION
The 1nstallat1on 1S be1ng made on
property I own Wh1Ch 1S not 1ntended
for sale, lease or rent.
Owners S1gnature:
-----------------r;---------------------
DATE: 3-7-15
RECEIPT #: (!) / /" c:; 4/)
RECEIVED BY.-;,_y\^ (,1 d,,-- ~O ':
A.
New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng un1t.
SerV1ce Included:
"
Sum
Items
Cost
1000 sq.ft. or less
Each add1t1onal 500
sq. ft or port1on
thereof
Each Manuf'd Home or
Modular Dwell1ng
Serv1ce or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
SerV1ces or Feeders
Installat1on, Alterat10ns
or Relocatlon:
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 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
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 C1rcu1ts
New, Alterat10n or Extens10n Per Panel
One C1rcu1t
Each Add1t1onal
C1rcu1t or w1th SerV1ce
or Feeder Perm1t
$ 35.00
$ 2.00
E.
M1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or 1rr1gat1on
Slgn/Outl1ne L1ght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
not wcluded)
$ 40 00
$ 40 00
$ 20.00
$ 36 00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
50.on
1,.5.0
1.50
5'4.. On