HomeMy WebLinkAboutPermit Electrical 1995-9-13
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The following project b' ,
zoning, and does not ~s s~ mrltod ~as the following
approval. . eqUlre SPGCillC Jand :.JSe
97477 Zoning_ LOf2-.
7-i6-1769G}~L1Jq:>
AtJlhori~:od Signature N M
3.
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
City Job Number t:?9'3'/?
COKPLETE FEE SCHEDULE BELOV
LOCATION OF INSTALLATION
'/98'2 ~A-S#"7A'~
1.
A. Nev Residential-Single or
Kulti-Family per dvelling
Service Included:
unit.
Cost
$ 85.00
'.
$ !,5.00
$ 40.00
LEGAL DESCRIPTION
/JiI'7!t:>2"%$~, ~.? ~.
.
Sum
Items
.,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
lEach Kanuf'd Home, or
Kodular 'Dvelling
Service or Feeder
JOB DESCRIPTION
,7X'~ r~?~~,~-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
, ,
B. Services or Feeders
,~ Installation, Alterations
,~~~~! 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 ,
CONTRACTOR INSTALLATION ONLY
2.
"':-'-'~Contl!actor )'?~~
,
Address 7;>J?~~ ~~
CityC~'-~ Phone "3.5'Y'JI!!r?~":2.
, -:??y:;>~ -
Supervisor License Number
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number /L?L;'~~,&::
Expiration Date ~~
-- $ 40.00 ~
$ 55.00
$ 80:00
volts see "B" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Signature of Supervising Electrician
-0 ~ q_ D. Branch Circui ts .'
/.,/v...c;? (~u",,_~ .
, . . " -' Nev, Al tera tion or Extension Per Panel
Ovners Name
Address
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
City Phone
$ 2.00
OVNER INSTALLATION
E. Kiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE y~'-
5% State Surcharge 7---
3% Administrative Fee /. ,,::?P
TOTAL _ "7"? ~
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Ovners Signature:
---------------------------------------
~-I7_~y-
/~~
DATE:
RECEIPT II:
RECEIVED BY: