HomeMy WebLinkAboutPermit Electrical 1995-8-23
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225 FIFTH STREET Zoning KAX)~
SPRINGFIELD, OREGON 87477 . C' /7~c..
INSPECTION REQUEST: "2f>-3~~J.I./
OFFICE: 726-3759 AuthoriZ"~Si9.-,atum~:;,
1. LOCATION OF INSTALLATION .L:
~5~~~r?X\ A.
LEGAL DESCRIPTION,
,/?..e>~..~~/ 6-:<;;Ze>~
...-;'}JOB DESCRIg;uON "72,-/'
//~,;F~--:~-''''.,J;J ,!",/"AIIl -= "'-1Y-
Permits are non-transferable 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 Jl:t:WN
~Address I{<;'O gt(J.Ue;.Y H-m :#-2-1{
f,j'Vl.', I'" ,o:~.. .
,i\'"I' .f-1""I,!t~';~\;Il~; -;7
:~: cd'l~'F..() (~tN r. Phone ? Lf if-$' ::>'15
",.' ,(",
.~'I' .: I ;I-'! .~I'r'
',' 'SuP!!~'l'fsor License Number :~ /'llj~S
"" '~&:',,:Z!:'. _
:Expi~~\ion Date ocJ '76
con~t~ Contro Number h;;f5"lt..(
Expiratio~ Date ;;:;/~r 7,j' ~...:::??~
~i~~ Of~ 'i"',i.,..
Owners ~me ..,. ~// S D.
'Address'7~ 4,~ _f~~-
Ci ty ~e:Y,,<, Phone
O~ ~STAL~;:::>
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------~-~--------------
DATE: ~,z 3/7 s.:- '
RECEIPT II:, ' '/2.?!f!t.t94
RECEIVED BY: ~p~~
AA -, ~ -,. /
ELECTRICAL PERKIT APPLICATION
City Job Number
'7$'/::;>~
~O~PIRTE FEE SCHEDULE BELOV
I
Ne~ Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
c.-- $ 60.00 ~~
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' '0'1' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
$ ~. --.!?
or Feeder Permit / 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 ...?::?--
5% State Surcharge ~.~~,
3% Administrative Fee /. ~
TOTAL ..b.e:.. .9~