HomeMy WebLinkAboutPermit Electrical 1995-12-4
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The 101l0y.ln9 project as submWod has the"
zoning, and dOGS not reqUire specific land t..
appro\' al
225 FIFTH STREET . 17 /l iO /ELECTRICAL
SPRINGFIELD, OREGON 97477 Zonlna .-"'J..cI\J f '-----"
INSPECTION REQUEST: 726-376~ate /c2jijl tJ5." ~el. C1ty Job Number
OFFICE: 726-3759 ~J
Authorized Slgnature_ I<''I'P 11111<' ..scHEDULE BELOII
1. LOCATION OF INSL^9-^TIOIjl
""3 ;;:~L /!~.&~,o A. New Residential-SIngle or
- - . - Multl-Famlly per dwelling unl t.
Servlce Included:
\ ~Tfl r5l~lON
ca~)
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JOB DESCRIPTION
A.J ~rZ-
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Permits are non-tra~sferable and expire
if work is not started loll thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electncal ContractorJ~\\\?'ll r-::kd~
Address I J. Su..) ;<,.&1 S-t
CitY~((A'" Phone 1..J7S<J/2,cl
SuperVlsor License Number J 00(, 5
Expiration Date f()-I-q,;
Constr Contr. Number 1(j87tj.~
Expiration Date q -1.../-95'
.
Si~. ature of supervis~g Electri.Cian
<<~"- W~AI'AJ_A."""--\ D
r Owners Name .~~{ ~ ~d ;Z;~.
. f d '--,
Address 1'1)''1,9 "'5: ::S...1. ~ ~
Ci ty ""5 P::P~'b Phone "/ LI t/ - t:. ~.(J
,
O\INER INSTALLATION
The installation lS belng made on
property I own WhlCh lS not lntended
for sale, lease or rent.
Owners Signature:
~~::::---;~-;---1fj1ii:;-
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Items Cost Sum
1000 sq,ft. or less \ $ 85,00 <6.",
Each addltlonal 500
sq, ft or portion 2- -.3D
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelllng
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Servlces or Feeders
Installatlon, Alteration or Relocatlon
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Clrcults
$ 40.00
$ 55.00
$ 80.00
see ItBII above
New, A1teratlon or Extenslon Per Panel
One C,rcult
Each Addl tlonal
C,rcult or wlth SerVlce
or Feeder Permlt
$ 35 00
$ 2.00
not ,neluded)
Mlscellaneous (Servlce/feeder
-Each lnstallatlon
Pump or lrrlgatlon
Slgn/Outllne Llghtlng
Llmlted Energy/Res
Llmlted Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
$
$
$ 36 00 _
11~9U_
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40.00
40.00
20.00