HomeMy WebLinkAboutPermit Electrical 1995-11-28
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION 01,' INSTALLATION () I' "f(
354, C:>..,'1~UJCJ>y (Jd>O[~"1l"'o (\ '-' A.
t
LEGAL DESCRIPTION
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, JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorOkic:. ~tIJl)l!..
AddressROf30X 773$b
- Q'7'10;L -0,'11]
CityEV(-R~ oR
Phone. 3'( .3 -7'-1 5(:,
Supervisor License Number 3/~ s;: IG
Expiration Date ID /1 / "j~
Constr Contr. Number 'J.Oo;)3}(!.L-5
Expiration Date /0/1 /"1&
Si~ature of Supervising Electrician
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Owners Name W~5t-e-,--yo.... B vn/c.
Address PO f30X /0'11
Ci tyl1-eJ P""-J 0(\, Pho~St>))$7 - 4').13,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------------/~---0- -----------------
DATE: It( 2- ~ '1 j-
RECEIPT 11: /~;;, Cf ~
RECEIVED BY: . : ~ /l
-1./; q
ELECTRICAL PERMIT APPLICATION
City Job Number ~50 '72/
3.
COMP~TE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq. ft . or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manu'f' d Home. or
Modular .Dwelling
Service or Feeder $ 40.00
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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B'~ a!1ove
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
t.touoD
not included)
5.
$
S
$
$
...../rJ ~
7'2.00
/20
4~2.<>
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL