HomeMy WebLinkAboutPermit Electrical 1995-6-21
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The following project
zoning, and does not ~eq&l~bm?t~\.~,.J .1~i?{t!,C' to,'lowing
approval. Ulfe:!ll, . '~.l ". ~.Qa
Zoning LrY2-
225 FIITH STREET DtlJ.e~ ~2-I-C; ~
SPRINGFIELD, OREGON 97~7.7" i I
INSPECTION REQUEST: 7~lj'_~~Sjgnature_ IV M
OFFICE: 726-3759 .
1. LOCATION OF INSTALLATION
C:-fJ '=? ~ 4~-<..?< 1JR,
LEGAL DESCRIPTION
...Le1F:J'2- 102. 2.3 ~<'';l~
JOB DESCRIPTION
S.,F. s:f1CS/oe;u,,-r.e,
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Ovners Name tut'tfa SyLLIAA:'lJia.l
( ,
Address "5~o4 (fi 5 r,
City
-r,N1.1?) ,
724'-;2'1(,/
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
{or sale, lease or rent.
Ovners Signa tu~e:
j<{~~. ~
----;11---~----- ----------------------
D~~ /2/~~~ ,
RECEIPT #: (/?&:J '2-S'
RECEIVED BY: _/.7'~~
ELE,~CAL PERMIT APPLICATION
City Job Number 9so COC:::7>
..~
3, COHPLETE FEE SCHEDULE BELOY
A, Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
1000 sq, f t. or less t--
Each additional 500
sq. ft or portion
thereof ~'
Each Hanuf'd Home, or
HodularDvelling
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
It ems Cos t
Sum
$ 85.00
ss.-
$ 15.00
7~6-0
.
$ 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
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
_L~t') ~
_ $J.OO
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