HomeMy WebLinkAboutPermit Electrical 1995-7-24
The following project as submrtted has tho followmg
zonlj19. and does not require specIfic land use
approval
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning L. DL.
97470l!.la I-.L~ -&)1/
726-Jlo1 . 1
Authorized SIgnature IV M
J.
1. LOCATION OF INSTALLATION
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i
ELECTRICAL PERMIT APPLICATION
C1ty Job Nwnberq 5 04& (
~UMYLET~-FEE SCHEDULE BELOY
A. Nev ResIdentIal-Slngle or
Multl-Famlly per dvelllng unlt
SerVlce Included
I (/ LEGAL DESc;RIPTLQ.N(
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005CfZ'l
L: JOB DESCRIPTION-
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Permlts are non-transferable and explre
If vork IS not started vlthln 180/days
of Issuance or If vork IS susP7n ~d for
180 days
~NTRACTOR INSTALLATION JNLY
Electr~l Contractor ~
Address '" ~
~ A'hone
Supervlsor Llcen~er
Explratlon te ~
~
~
Clty
Constr
Number
ElectricIan ~
Ovners Name .5~ ,HAl d/l/SlliC~
Address L~tJ ~ W/UfiKWZ~f' I2.Cl P/S-
Cl ty t5J6VJf_ 97'/0/ Phone 3LJr;;- -OS-?IJ
OYNER INSTALLATION
The Installatlon IS beIng made on
property I ovn vhlch IS not Intended
for sale, lease or rent
Ovner~~vtur~;y
./ ....-? './ -:: ./ -
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----------------~~-~---------------
DATE: "7.-- 2L-f - -, '.)
RECEIPT #:(' ) I >lL-J i!-)
RECEIVED BY: JJ(j.--.: ; '1"'"
~
1000 sq ft. or less
Each addltlonal 500
sq. ft or portlon
thereof
Each Manuf'd Home or
Modular Dvelllng
Servlce or Feeder
B.
SerVlces or Feeders
Installatlon, Alteratlons
or Reloca tlon
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
Items Cost
Sum
$ 85.00
$ 15 00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130,00
$300.00
$ 40 00
C.
Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocatlon
200 amps 'OT 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" above
D.
Branch Clrcul ts
Nev, AlteratIon or Extenslon Per Panel
One Clrcult
Each Addltlonal
Clrcult or vlth Servlce
or Feeder Permlt
$ 35 00
$ 2.00
not Included)
Mlscellaneous (Servlce/feeder
-Each Installatlon
Pump or Irrlgatlon
Slgn/Outllne Llghtlng
Llmlted Energy/Res
Llmlted Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admlnlstratlve Fee
TOTAL
/
$
$
$
$
~_trO
I~
- fa 0
;:> I '{p 0
40.00
40 00
20 00
36.00
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