HomeMy WebLinkAboutPermit Electrical 1995-4-27
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225 FIFTH STREET L-
SPRINGFIELD, OREGON 97477 Zoning Dt2-
INSPECTION REQUEST: 726-Qi1t69 L1 ~7l4"';
OFFICE: 726-3759 1 AI
Authorized S,gn:ture. IV M
1. LOCATION OF INSTALLATION
?Q3.:L ('7y.E42~.ah DR.
1~~ffl~~ION Cf53cn
JOB DESCRIPTION
~_____ SPK
Permits are non-traftsferable and expIre
if work is not started wIthin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor flllfAJ EI1~-k.,'c...
Address I;:J. c')'u ,;Ztd ,<:.,+
Ci ty iY\r{--lRr\~
Phone 47S-;).(3'1
SuperVIsor License Number lOll/'" oS
Expiration Date
In-I-qs-
Constr Contr. Number 1087</..';:;-
Expiration Date q -L./-qc:
.
.
Signature of sup~ng Electrician
~. C2. ~{J-"~/'\_
Owners NamJ:1f) url 011 F .f'd-, .
Address f3C4 Q~. A2nrl. jt
City~tJ rL Phone/44.lctlldo
~LiNSTALLATION
The Installation IS beIng made on
property I own WhICh IS not Intended
for sale, lease or rent
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
<./-2?-"77
/7/5'.'/ ~
~----- -
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ELECTRICAL PERMIT APPLICATION
City Job Number
qc:fJ~PJ
COMPLETE FEE SCHEDULE BELOV
A. New Residential-SIngle or
MultI-FamIly per dwelling unIt.
SerVIce Included:
Items Cost Sum
1000 sq.ft. or less ~- $ 85.00 ~
Each addItIonal 500
sq. ft or portion &. -3b
thereof $ 15.00
Each Manuf'd Home or
Modular DwellIng
Service or Feeder $ 40.00
B. SerVIces or Feeders
InstallatIon, AlteratIons
or Reloca tlon:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300 00
Reconnect Only $ 40.00
C.
Temporary SerVIces or Feeders
InstallatIon, Alteration or RelocatIon
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
$ 40.00
$ 55.00
$ 80.00
see flB"
above
D.
Branch CIrcuIts
New, AlteratIon or ExtenSIon Per Panel
One CIrcuIt
Each AddI tlOnal
CIrcuIt or WIth SerVIce
or Feeder PermI t
$ 35 00
$ 2.00
E. MIscellaneous (ServIce/feeder not Included)
-Each InstallatIon
Pump or IrrIgatIon $ 40.00
SIgn/OutlIne LIghtIng $ 40 00
LImIted Energy/Res $ 20 00
LImIted Energy/Comm $ 36 00
5. SUBTOTAL OF ABOVE 11~.ro
5% S ta te Surcharge <5 ' L '")
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