HomeMy WebLinkAboutPermit Electrical 1995-3-8
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225 FIITH STREET Tn . , ELEcrnICAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 zor~i:'~I".:~;~~prOjscta9submittedhaoth f' qsn / I
INSPECTION REQUEST: 726-37691rov:.t oeG not reqllire specifi~.I.iCh~o':J'(fu Number L ~L..{ '-j
OFFICE: 726-3759 ' ~ I
Zoo:ng-S,Ll-".. COHPLETE FEE SCnEDULE BELOI/
1. LOCATION OF INSTALLATIokto~-~::5 )" .
,.c;C)(') '~~",.i,#~iJ.;?~!;.,,< ""_..--:-: /Il'L New Residential-Single or
. .. -,-,o-~~Ml.ll ti-Family per dwelling uni t.
LEGAL DESCRIPTION 03/0 { Service InCluded:
1'10-::' l ~ (YJ I Items
'. ", ,.....
Sum
Cost
$ 85,00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
~ JOB DESCRIPTION
/hvt tJ fh ~ :vr
$ 15.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
2, CONTRACTOR INSTALLATION ONLY
Elect~ical Contractor Jf?~).1d~ ~;.'~Ct:
Address .271'/.. (p""kf X~//.
3~?-72' ?
2d-1 ~!>(....
/tJ-- 9 S-
Constr Contr, Number ~;7P?~~
/cJ~75
B,
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
City~_..../ Phone
Supervisor License Number
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C,
#!!--
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 liB"
Expiration Date
of Supervising Electrician
'4.c~_ /4
. , ;' - D.
ers . Name S'hl)~ tLld"dcl .4d/'~4'/j,:1
Address C/r) 5(J() -r~ 1JftTi {)I..J!fL lV.
Ci ty-- --60 PI L Phone
above
Branch Circuits
New, Alteration or Extension Per Panel
$35.00
One Ci,rcu it
Each Additional
Circuit or with Service
or Feeder Permit
S 2.00
OI/NER INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
The installation is being made on
property I own which is .not intended
for sale, lease or rent,
Owners Signature:
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.LP'7 Bf=
~ :;.7 ,
~~~,~r;/cr:~~;-~--------------
RECEIVED Jl:L;......,,/ ..()1..J ~.t. A .~"
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL