HomeMy WebLinkAboutPermit Electrical 1995-11-13
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SPRINGFIELD
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225 FIFTH STREET j /I f) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 loCo"'," ::?N IG n <",,7\1 ;1-1
INSPECTION REQUEST: 726-3769.rr_U-=l3_ q 5 Ci ty Job Number V"\ ~\O \ \
OFFICE: 726-3759 ----- ~j)
"__10 onzCrd SIgnature 3 pr;OHPLETE FEE SCHEDULE BELOI1
1. LOCATION OF INSTALLATION
C;;;? S ~ {J .(/Jii7L" dGL A.
\ <i[1tdf~71FTIOl\\ \CO
JOB DES~PTION \1 r,;:)
/l/J7Ao{,/ 5" /Z'-~._ \(14
Permits are non-tra~sferable and expire
if work is not started w1thin 180 days
of issuance or if work is suspended for
180 days.
/
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Al\~r0 Ehd1clG
Address I d.. fu) ?~ ~-\ _
City /V\;0e..r"<" Phone l..\1C;.::jL~9
Supervisor License Number IOnloS
Expiratlon Date
nH -Ct::;-
Constr Contr. Number f.o874-;:;
Expiration Date 9-1.../-1.;'
,
-
Si~t~~o~ ;;;if;.& Electncian
W.t Jj d ~A -<J---lA-4 ~\
~ - ~ ....- D.
Owners Name ;/:7'J-r:../;?hA./ ~ '" i~ ~K/
Address <n9 f - $"; s~~ ~
Ci ty S- ;=>P--L--n Phone:7 ~JLJ -~9c::;;"c
OYNER INSTALLATION
The lnsta1lat1on 1S being made on
property I own Wh1Ch 1S not lntended
for sale, lease or rent,
Owners Signature:
~ATE~---------------;r;r-;(~~-~----
RECEIPT It: \.J. f-I.~
RECEIVED BY: JI) U U .) .
New Residential-S1ng1e or
Mult1-Fam1ly per dwell1ng
Serv1ce Included'
Items
1000 sq ft. or less \
Each add1t1onal 500
sq. ft or portion 2-
thereof
Each Manuf'd Home or
Modular Dwel11ng
Service or Feeder
B. Servlces or Feeders
Installat1on, Alterations
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
unlt.
Cost Sum
$ 85.00 ~
$ 15.00 ::J)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installat1on, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
Branch C1rcu1ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extens10n Per Panel
One CHCUl t
Each Add1 tlonal
CIrcuIt or WIth SerVIce
or Feeder Permlt
E.
M1scellaneous (Servlce/feeder
-Each 1nstallat1on
Pump or lrr1gat1on
Slgn/Outllne L1ght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35 00
$ 2 00
not wcluded)
$ 40.00
$ 40 00
$ 20.00
$ 36 00
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