HomeMy WebLinkAboutPermit Electrical 1995-8-29
bmi':t d has the fo'k
The. following proil'lct as suo s.p:.cific land ll~e
zoning, and dces not require
approval. L 0 t2-
Zonina _'
D.....L'1....~:>
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-37~g' N M
Autnorizoo Signatt.lro_
3.
1.
LOy~TION OF I~:VALWION
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LEGAL DESCRIPTION
/~2 .#'j~ /2.- z>9~80
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Jo~ Number . /<5a~ff
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less t-- $ 85.00 ~
Each additional 500
sq. ft or portion Jo~"
thereof Z $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
__I,., ,in - I ,r Installation, Alterations
Electrical Contract~'JlUJlf.Ktrof6J~r; Relocation:
Address ~ /6. S;; ~:;Znrf ~-r . 200 amps or less
~. 201 amps to 400 amps
Ci tyS: _ Phone 7<(7 ;J.1l8~' 401 amps to 600 amps
I iF. 7 V' 7 "17"7 601 amps to 1000 amps
Supervisor License Number '~ 7 5' -) .s- Over 1000 amps/vol ts
Reconnect Only
Expiration Date 10-9:>
Constr Contr. Number 770~~.
Expiration Date IC- <Ji
~'~"'~~-.:;;'" "<<"'0'"
. o~ners NameYJDir)C;k/ W<!...
Address 4cP/c" Jrt1A~ RLl,
Phone ,7-ft.-~r;.1
City
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OYNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: >< .?9-~C;-
RECEIPT #: ~ ;SA 'Ji5'~V
RECEIVED BY: r_k- - ,. .,~ 1.
ere' - A:fV;;:;
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less L--
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 ~~o
$ 55.00
$ 80.00
see "Bit above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$
J.C:; S.lJ-O
'7,7C
~~S"
1/ 'n "".0
'l.y'~
40.00
40.00
20.00
36.00