HomeMy WebLinkAboutPermit Electrical 1995-8-23
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SPRINclLO
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225 ,FIFTH STREET ' \"0 \o\\EU'l:nuCAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477, D",\I.\8c1~\~s\,,(\cI\,'Se, qs I :)7 C;
INSPECTION REQUEST: 726-3769 'ec\ "s s~\(e sl'cc, Ci ty Job Nlimber :::::. /
OFFICE: . 726-3759 ,.\(\g I'IZ~ (\0\ lOCI
. ,l,e \0\\0 enol clO ' PLETE FEE SCHEDULE BELOII
1. LOCATION OF I~STALLATI.~~~~~~\'. tfi'&, ,
Emerald Industrlal Electrlc S~9P~~?t . New Resident-ral-Single or
, " 0 ~.::'A h,~t-t=Fa'mily per dwelling unit.
LEGAL DESCRIPTION \)~-.lo..-D ( o'0\o~Service Included: '
1919 Laura Street l'lns ;),7,;/;m;l'~ Items Cost Sum
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JOB DESCRIPTION
Installation of Alarm System
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 Emerald Ind. Electric
Address 1919 Laura Street
City Springfield
Phone 747-8460
Supervisor Licen~e Number
1677S
Expiration Date 10-01-95
Constr Contr. Number 63478!.'.
Expiration Date
, 1.'I:-26~9j=
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
$ 85.00
$ 15.00
$ 40.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps ----- $ 80.00
Over 600 amps or 1000, volts see "B" above
Branch Circuits
Signature of Supervising Electrician
:Jiv~;/ ~~ ,
.. Owners Name n ~ ,,~~D.
,~Sl
Phone 7~7 -q71~
Address \ CJ \ 0
,Cit,6.p~ ,
01lNER INSTALLATION
The installation is beitig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:O-23- qC; _
RECEIPT, t: U/6 /'1--,).
RECEIVED BY: h-.J(1A.!" d /"
New, Alteration or Extension Per Panel
One Circuit 1
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35.00
$ 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 $ 36.60
5. SUBTOTAL OF ABOVE
5% 'State Surcharge
TOTAL '
3 ~ Abtt/41
--mTPL-
35.00
1'.75
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