HomeMy WebLinkAboutPermit Electrical 1995-7-26
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SPRINGFIELD
The, following project as submitted has the fo'lo.
zoning, and does not require specific la,r.d lri~~T
approval. , bmitted has ttie'fOr.n.'Jlm\llll.LU.CAL PERMIT APPLICATION
9747Ae following proJect as suU"r~ific land use
Y, ~~~~ q51~~~
72~~1j~' Ci ty Job Number 01. ~ -J
~te /-U~C
,Z6ninp ;I ". COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INS.TAL~:~FfZed, Signature ~. ,
~~~~ ~~_ -- A. Nev Residential-Single or
~lM(iZ.eO ::llgnCiIU'O , ' Mul ti-Family per dvelling uni t.
I LEGAL DESCRIPTIO~ 07QO J Service Included:
'j (') 2- '<:) ~3 Items
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 ~~ ~
5% Sta te Surcharge I ~
3% Administrative Fee 10s
TOTAL ~ ....,.~o
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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JOB DESCRIPTION
\.. . . . ~ ~\~' ~ t. ~~, t
Permits are ~sferable and expire
if vork is not started vithin 180 days
of issuance or ifvork is suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractow.~ ~. ~L.l2.Jl.~ ~,
Address ~O ~'X- .::\~~J
Ci ty& ~ Phone 3L'~ \ lo~\
supervisor~ense Number I~~~ ~
Expiration Date \Q(qS
Constr Contr. Number ~'?co I
C.
Expira tion Date' Q, \ C\lo -
Sign;;!; ::::r~~t~t~ician
c'
D.
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Ovners Name
\~ ~~')
1)A1~ "-/
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Address L7 &3.5
City~ ()
Phone jY-1 I ~~}
OVNER INSTALLATION
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The install~t{~n is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DA~E~~==-~~-:-(j:)----------------~-
RECEIPT =It: UI Xl.-fl.,p?-
RE~EIVED BY: --1.f&J(l"r-
Cost
Sum
1000 sq. ft. or less
Each .additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
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
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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 ~S ~
$ 2.00 ~t.o