HomeMy WebLinkAboutPermit Electrical 1995-12-6
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S~.GFIELD
'.
II .~tl' I:.J ~ ...... . ,- ." .
zoring, and does not requirG specillc land use
approval.
Zonina L. D ~
Dale \ "2 -~ _'15
225 FIFTH STREET ..... , N I; S-o
SPRINGFIELD, OREGON 974AJ7"onz:.'>O ::>igM.lLe ,
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
~. Services or Feeders
Installation, Alterations
~~or Relocation:
1. ~OJ=ATION OR..,!NSTALLATION
9' J.{ / .LJ45V
/
LEGAL DESCRIPTION
J I r))___ <..?_ s~ 055 em
,
JOB DES~PTION
,()&-o- ?~
Permits are non-transferable and expire
if york is not started within' 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
...
Electrical ContractoCh"d/5 t4tlh~
~
Address 33.J3\r /1; fi.t..t.J>~b D/P
, City r/l~ Phone ~95~3t6 ()
32<-.g5
Expiration Date ! 0 / ~ ( /?~
( {
Constr Contr. Number 62 J "'17
Expiration Date II / 0/ / 9R'
/ I
Signature of Supervising Electrician
rL/~/;-L V~~
Ovners Name /I~ (J7/e.-L<;' 7/l.t2..P if-
Address ~5 /, I /J41':'::- y'
Ci ty<)' to 0'-f'""L () Phone 79'-" ~ J 99/
I '
Supervisor License Number
OVNER INSTALLATION
"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------7\:-----------------------
DATE: 6:; ..t.JLU 95
RECEIPT 1l: Q 1 q 755 '
RECEIVED BY: tv. IYl A-a ADu
3.
A.
C.
D.
E.
,
ELECTRICAL PERMIT APPLICATION
City Job Number q 51 0&5
-.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.60 /
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder $ 40.00
.
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
()('
60.tJ"O
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps,:
Over 401 to 600 amps '
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
,
.
,
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
" ,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not includ.ed)
. .
, !
, ,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5a.em
2.,,50
l ,50
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