HomeMy WebLinkAboutPermit Electrical 1995-7-6
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1he following projec1 as t;u,bmrn~d t,I:S tho f~llC
zoning, and does not req'..llro sp€:Clh... land use
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino /..-...fJf!- n~f'\I, A l
INSPEctION REQUEST: 726-3769~-f ~~ 'City Job Number ~\~ XJ (]l[
OFFICE: 726-3759' DaleF-l-t -
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("\JOB PES~PTIQN ~
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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.
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2. CONTRACfOR INSTALLATION ONLY
,
Electrical Contractor JB Electric
Address 1786 Ba 1 boa Street
Ci ty Eaqene
Phone 687-5770
Supervisor License Number --1a7?S
,;.
Expfration Date
1n_'_Q~
..
.-
Constr Contr. Number 84206~~
Expiration Date 6-22-95
sign~(t}re 1ff Su Ilf~n.g Electrician
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Owners Name SJ\,Y'flIlt.,J-o\A) i 0Q\,
Add res s..J C{~Lo l~; \\aX<.ol\+l 0,
City 1IJOft, Phone \Q~~'\\1J )
OVNER INS LATION
The. installatioil'is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
R<....r..Lh w:
RECEIVED BY:
7'"'~'~~
1~_"2I'~
./"L....-.J"7....."
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
1___
$ 85.00 ~~C
/-
$ 15.00
90.00
$ 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
D.
.200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $, 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE J 7$.-
5% State Surcharge . . Q. 7~
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