HomeMy WebLinkAboutPermit Electrical 1995-6-6
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The following proJecf bm
zoning, and does n 00 .~ Iltod has tho 101
approval. of ~equ"O Specfffc land Use
225 FIFTH STREET Ii /' / ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L-'-/ 1_
INSPEctION REQUEST: 726-376~'-t ~ 0- q 5 . Ci ty Job Number q~~ ')tp
OFFICB: 726-3759 .
Authorizad Signature
1. . LOCAT1;.ON. OF ;INSIM-LATION
rO /)r!Jn (::tfJl.kL n I I
. LE~ DESCRIPTION ':II
-1!ln6'd!lOO n~ Q~
J.. JOB DESCRIPTI,AN . 'f
\.JA.X\)~ d \"11\(\1. J1 1'l
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. ".'"
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2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor ARC ELECTRIC
AddresB5783 HWY 99 SOUTH
CitY_FlIGtNt
Phone 741-0494
Supervisor License Number
20985
Expiration Date
IrJ. \.qs
..
.Constr Contr. Number
.-
006'0'3
fA}. It 0 .Q5
Expiration Date
.,
Si~ure~ Supervising Ele~~c~an
':/ diL-e~W/}1d-~h~
"I" D.
Owners Name "'"'1\,oi\oX"<\9 ~rf'L ~
AddressJ f130?' \'10 Xl.U, ~ f\ '\ ~\\-d
Ci t~~{} _ Phone 8IQ.C?o1. 34(:0
01lNER I~
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATi~-----------------t27:1l7-~C::;---
RECEIPT t: \~~_:-.! \{f,~
RECEIVED BY: (:~ 1\l7l::T
:tJ ~HPJ..ETE FEE SCHEDULE BE LOll
New Residential-Single,or
Hulti-Family per dwelli~g unit.
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Duelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
\
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
@U.
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
Branch Circuits
S 40.00
$ 55.00
$ 80.00
volts see "8" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or with Service n
or Feeder Permi t Lol- S 2.00
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
11:1
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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