HomeMy WebLinkAboutPermit Electrical 1995-11-27
The, following projecl as submitted has tt_lowl
zOning, and does not require specIDc lan.e ng
approval.
.
SPRINCFIELD
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225 FIFTH STREET '" .' 5
SPRINGFIELD, OREGON 9747fk1e_ I I - ;;2 7 - q
INSPEctION REQUEST: 726~~ ./2....Q. _2t!l:' Job Number
OFFICB: 726-3759 ' , ,
3. COHPLETE FEE SCHEDULE BELOV
1.1~~0~OFCfrAmtroJ~
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- , I
r ;.0, 8ES PTION
Permits are n-transfe~le and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
2. COtn'RACIOR INSTALLATION ONLY
,
Electrical Contractor
ROSE CORP
Address
89976 DAY LANE
City
Phone fiRfi-OqO~
1'11(:;l'r~F
Supervisor License Number -1SfiR~
Expiration Date
Constr Contr. Number
10/1/95
..
..
5443 i ~"
Expi'ration Date
qno/q<;
Signa~Ure uperv~Sin Electrician
, / 0 .#
. /~h",~.. ~ '_
Ovners ~ _
Address t\43 ; 1m m Pc1
Ci ty Cl.1:l.,eJ\Q... _Pho~e ~q
OllNER I~TALLATION '
The. installation is beirig made on
property I ovn vhich is not intended
fo~ sale, lease or rent.
Owners Signature:
DATE: ~ Fd ,.Jf> //- 2 7197'
RECEIPT f: / 9~ ~ '1'
RECEIVED BY: //P#*cc,
I
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 .3w!;
Each additional 500
sq. ft or portion
thereof 1!L $ 15.00 I:::zc:;
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
B. 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
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 1000 volts
$ 40.00 ~.~.
$ 55.00
$ 80,00
see "8" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel'
One Circuit
Each li'dditional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
':2. Y5', ...
/7 .~
7. '3-S-
'2 -' y. ~t!)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL