HomeMy WebLinkAboutPermit Electrical 1995-7-12
The. following project es submitted has the following
zOning, and does not require specific land use
approval.
Zoning L-DL-
225 FIFTH STREET Do10' 12.....-4)
SPRINGFIELD, OREGON 9747r---
INSPECTION REQUEST: 7~!l.'3'189Slgn.turo 1\.1 M
OFFICE: 726-3759
3.
1. LOCATI~F INSTALLATIOJj f)' A fJr>. .
I \) '7<: C; cl.Q,.-r\ b ~ 1 CA i\.L 0"1.B.
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/7 05AL2~rrION ()C-/ I (f7) ~
. JOB DESCRIPTION " -f-T: ,I
:.,eN;~~ c.lACt'^<1t t- 11'" ,v-b
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
Address P.Q. ~
City 5' (.I~eV\. e
Expiration Date
5/9(,
Signature of Supervising Electrician
l1)~ A~m....
Owners Name .:! ok V\ (J L;h c II
Address :;~ ~
Ci ty ~ ~ Phone
7'1~ ~I/()'J. Y
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~E~~-::-l~=:-Cfc)----------------
RECEIPT #: ,(J/ y 2<;--/)
RECEIVED BY: l\. J~...1.cr
ELECTRICAL PERMIT APPLICATION
r.itv Job Number q' ~ 1 ~ 2 (
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
It ems Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
B. Services or Feeders
, Installation, Alterations
Electrical Cont~actor LR~\lQ((.(V1 ~(E'cK\ ~ or Relocation:
'V'o€..
m (!) I ~~~'^'(J ~}7Yo')200 amps or less
, ? '3 201 amps to 400 amps
Phone ~,~-> -Z 401 amps to 600 amps
nfl'i I 601 amps to 1000 amps
Supervisor License Number '~d~ -~ Over 1000 amps/volts
\1. Reconnect Only
Expiration Date /Otq~
I .
Constr Contr. Number OJ SO; /0
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 "Bn above
D. Branch Circuits
.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Addi tional
Circuit or with Servic~
or Feeder Permi t (
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 16.00
32.(51)
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I .,5 &>
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