HomeMy WebLinkAboutPermit Electrical 1995-11-14
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SPRINGFIELD
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The following projoct nc. s:'1.bmH1ed.~$ the foil
zOf1ing, and COC!5 net rE;qLiI!"a speclllc l~nd us
225 ,FIFTH STREET r."provt.\. J} /) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning1-rJJ(2- n b<.\~
INSPECrrON REQUEST: 726-3769 ' .. Ci ty Job Number '-'\. ~ ) \I ~
OFFICE: 726-3759 Out. /1- (C{ - q.s '*
. . lure . ~OHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIOIVtlonzed SIgna I '
1 1/,:, ? J...Q.LfA D;.,-S!.. . ,A. Nev Residential-Single or
Multi~Family per dwelling unit.
\~~~~ON (')\~ Service Included:
JOB DESCRIPTION '
d.a-.. '7# ~~"'" P"",,-~,I '/ AU /ooA F....Ju
,0 l.J /LV 4-1" S';>b cf-n....<.'
Permits are non-traftsferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,"
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq, ft or por t ion
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder $ "0.00
2. CONTRACTOR INSTALLATION ONLY B, Services or Feeders
. I' Installation, Alterations
Electrical Contractoral.......... A)t'lf-I f7"C/4-r'tc..or Relocation:
Address_Jf7 J!> ;::0)( 1-/0 /~J 200 amps or less /J...
'"' ()../l 201 amps to 400 amps - ,
City L-~ P;.A/I~ Phone K g7J/os-5302 401 amps to 600 amps
b 601 amps to 1000 amps
. Supervisor License Number 3 5 7g 5 Over 1000 amps/volts
Reconnect Only
/0 -/ - 96-
Constr Contr, Number 93 '153
Expiration Date 9-- ~ /-11
Expiration Date
r'
Sign~~of Supervising ~lectric;,n
~..., vfJ'~
.. '.....-, --f .
Ollllers Name OtJJ,a.I--I W, I/)~ ~
, ~ .
Address /1te 2- L 0,...., ..,...... cC
City~ Phone 7J.f7- $tJ9 (
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent,
Owners Signature:
DATE~--- 1D-4-.q')------~~----
RECEIPT, I: A ICf:5 ,~
RECEIVED BY: ~YA /
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
~CXJ
C,
Temporary Services or'Feeders
Instailation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.' Branch Circui ts
volts
~
$ 40,00
$ 55,00
$ 80.00
see uB" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi t10nal
Circuit or w~th Service
or Fee,der Permi t .3
E.
5,.
SUBTOTAL OF ABOVE
5% State Surcharge
""l'eTM:: 3% '
-rotOJ
$ 35.00
II
$
l()~
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
fIr:Siiii.IIll'N _00
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