HomeMy WebLinkAboutPermit Electrical 1995-1-10
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The followIng project as submttted has the fol
zonmg, and does not reqUIre specifIc land us
225 HFTH STREET approval /"-D~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning q ~ ,,\_
INSPECTION REQUEST: 726-37~ot. 1,,/0---9< City Job Number vOO 0-/
OFFICE: 726-3759 ~ - I LA
Authorized Slgnalur. 3. IVct)MI'LETE FEE SCHEDULE BELO\I
1. LOCATION OF INSTALLAT1J>N
215'1 (1orlillnlml.n ~ \ /(lh~,. A. New ReSldentlal-Single or
MultI-FamIly per dwellIng unIt.
SerVIce Included:
LEGAL,DESCRIPTION
t7 0 6 ~l~ w-3. nu g-()D
,
JOB DESCRIPTION
-'>.!lOJ\-I.,u,v (lh1lJl'\llfJ UDn i\fYY1 fL~
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
Electncal Contractor~t~ el\loLU61 ,.j.1l'U!-
Address Po rh,J. 142;' ,
CltYJJ\i\lrY\('~~) Phone '141-~':;:31o
, {JO
SuperVlsor LIcense Number I b IS b S
ExpHatlon Date JO-I-Q5
O:'1'lJq
q - I -q 5
Constr Contr. Number
\
ExplratlOn Date
sa:dnZ~/clan
Owners NameJ~hrY\O, 1-krt~\o[\ M/\ 1_
Address~15'1 (lfifYrtb1Y\lY\ud I ~~LMl.
CltyJ~A1 iY\~fD~(L Phone '71-10 - 404-1
OIINER IN~ALLATION
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The InstallatIon IS beIng made on 0
property I own WhICh IS not Intended
for sale, lease or rent.
Owners SIgnature:
-------;---7--- . ----------------
DATE: ~ 0- r; 2)
RECEIPT jI:cJ/,-':> 757
RECEIVED B~.--,J n1r7 f'./u1~
Items
1000 sq.ft. or less
Each addltIonal 500
sq. ft or portlon
thereof
Each Manuf'd Home or
Modular DwellIng
Servlce or Feeder
B.
SerVlces or Feeders
InstallatIon, AlteratIons
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
Cost
,
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 iJ!LQo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary SerVIces or Feeders
Installatlon, Alteratlon or Relocatlon
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Clrcmts
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, AlteratIon or ExtensIon Per Panel
One Clrcult
Each AddItlonal
CIrcuIt or wlth Servlce
or Feeder PermIt
E.
MIscellaneous (Servlce/feeder
-Each InstallatIon
Pump or IrrIgatIon
SIgn/OutlIne LIghtIng
LlmIted Energy/Res
LlmIted Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% AdmInIstratIve Fee
TOTAL
$ 35.00
$ 2.00
not lncluded)
$ 40.00
$ 40 00
$ 20.00
$ 36.00
Sn.oo
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