HomeMy WebLinkAboutPermit Electrical 1995-1-26
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The, fol/owing project as submitted has the 101/0
zonmg, and does not require specific land use
225 FIFTIl STREET approval, ELECTRICAL PERMIT APPLICATIO'N
SPRINGFIELD, O'REGO'N 97477 Zoninp ~C /
INSPECTIO'N REQUEST: 726-3769, I , . c./
O'FFICE: 726-3759 Oat, _-t-(,' --t')
Authorized Signature JJ M CO'MPLETE FEE SCHEDULE BELOIl
1. LO'CATIO'N O'F INSTALLATIO'N 0:::::::-.;....
~h~:? ~~ _.-Y' A.
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City Job Number
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Ney Residential-Single or
Multi-Family per dyelling
Service Included:
LEGAL DESCRIPTIO'N
/ ~ ':j'-<:2...c:n:!C> e::> < '<. ~
/
JO'B DESCRIPTIO'N L \..; 10'0'0' sq. ft. or less
Ey...,.htZ--iOe- ,<..J'6:>..J,*~\cy, Q '-JI..Q-{)<::..j.ach additional 50'0'
, ~'-- sq. ft or portion
Permits are non-transferable and expire thereof
if york is not started yi thin 180' days Each Manuf'd Home or
of issuance or if,york is suspenaed for Modular Dyelling
180' days. Service or Feeder
"7y//s-'j
uni t.
Items
Cost
Sum
$ 85.0'0'
$ 15.0'0'
$ 40'.0'0'
2.,' CO'NTRACTO'R INSTALLATIO'N O'NLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Nb:J,..; LA-.,.../,rvna-:-5 or Relocation:
Address
l.j-<;'7o W /I.u, A"&"
City ~-r;~
Phone ~LN.--C;~6<'
Supervisor License Number "1..t:J -"Z-f!.J1 CL-5
Expiration Date folllq-S
Constr Contr. Number h'?'E1'I/
Expiration Date '/<.'L.l4S"
I
Signature of Supervising Electrician
'f\Jp "J LL L
O'yners Name~j\l\lJ~fS, \Zcos1u-S.
Address 3lT ,~"'c)~uJ'l J \-
City ~ai Phone
~TALLATIO'N
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The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
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O'wners Signature:
------------------ - - -:L(,') -------
1 JH"'\. 'foff) /
~- -
DATE:
RECEIl'T II:
RECEIVED BY
20'0' amps or less
20'1 amps to 40'0' amps
40'1 amps to 60'0' amps
60'1 amps to 10'0'0' amps
O'ver 10'0'0' amps/volts
Reconnec t O'nly
$ 50'.0'0'
S 60'.0'0'
$100'.0'0'
$130'.0'0'
$30'0'.0'0'
$ 40'.0'0'
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
20'0' amps or less
20'1 amps to 40'0' amps
O'ver 40'1 to 60'0' amps
O'ver 60'0' amps or laau volts
Branch Circuits
$ 40'.0'0',
$ 55.0'0' .'
$ 80'.0'0'
see "Bit above
Ney, Alteration or Extension Per Panel
$ 35.0'0'
O'ne Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 2.0'0'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40'.0'0'
Sign/Outline Lighting ~ $ 40'.0'0' :?~
Limited Energy/Res $ 20'.0'0'
Limited Energy/Comm $ 36.0'0'
5. SUBTO'TAL OF ABO'VE
57. State Surcharge
3% Administrative Fee
TO'TAL
2~-
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6.-
2./.:0.-