HomeMy WebLinkAboutPermit Electrical 1995-5-12
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SPRINGFIELD
The loll owing project... .ubm~t8d has the 101
zoning, and does not requir~ specific land use
225 FIFTH STREET approval. ELECTRICAL. PERMIT APPLICATION f2.--
SPRINGFIELD, OREGON 97477 Go t2-- n c:;(1\I\ I -
INSPECTION REQUEST: 726-3769 Zonina Ci ty Job Number q -~
OFFICE: 726-3759 Dote.~ rl:..-ti-)
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorGel4>-v-d cE:/ec.Tr-:c
Address <e?'1{)LI !la-q:/e~ IS..... Rd
City5pf td Phone -r-/i -2.5"<{(,
Supervisor License Number .3bS-1S
Expiration Date 16-)-c;~5
Constr Contr. Number 'l.7/</5
Expiration Date )1- )D-"I$
.
Signature of Supervising Electrician
...M~.,,{ /-1~
;, Owners Namel..~lkU,~~D.
Address_Cfto~ \.l\. VJcQ~.st ,_
Cit~ . Phone I4bQCff-
~TALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
3lJ ~HPLETE PEE SCHEDULE BELOV
A. New Residential-Single or
Hulti~Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
I
4-
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
Cost Sum
$ 85.00 ~5
$ 15.00 1d2
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
L $ 40.00 40
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Hiscel1aneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
DATE~-----~::-t~~~~---------------.. 5.
RECEIPT .: /7 alP ?
RECEIVED BY: /D)J.;-J--
v
SUBTOTAL OF ABOVE
5% State Surcharge
1'6l'M. ::SOb .
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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