HomeMy WebLinkAboutPermit Electrical 1995-5-23
The following project as submitted has the following
zoning, and does not require specific land use
, approval.
Zoninp L..--Dtl.-
9 -/4..,., c;.-l '} 4"'-
7 il6Aofi1licl1Signalure tJ l\/\
,
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION /1
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LEGAL DESCRIPTION
1701t'J~ 25" 2-1 IJ~D
JOB DES;.ar1;ION
C~'i' ~~~
Permits are non-transferable and expire
if york is not started vithin 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
01Jners Name~7;14 ~r~
Address~/~ fMyl5J.J ~,/f1'
Ci ty J!P"1 Phone 74 - ~5".~5
OVNER INSTALLATION
The installation is being made on
property I O1Jn vhich is not intended
for sale, lease or rent.
o~e~
M c-.
-----------------------~------------
DATE: -5"'-2'"3- -:? T
RECEIPT #: 1?1'? ~ '
RECEIVED BY: ~~~ -
'.1
ELECTRICAL PERMIT APPLICATION
r.i ty Job Number 91 I / 3~
3. COMPLETE FEE SCHEDULE BELOY
A. Nev 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 Manuf'd Home, or
Modular, 'Dvelling
Service or Feeder $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D,
Branch Circuits
,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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Ne1J, Alteration or Extension Per Panel
"
One Circuit ---- $ 35.00 35:oP
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 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
~::
1./1
., q 9&.
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