HomeMy WebLinkAboutPermit Electrical 1995-11-21
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S.~FIELD ..
The tollowing project es b m
7o"iog, and docs nol reqS~ro~c~'rh'~1 tho following
ilpproval. ", I "" and uno
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225 FIFTH STREET D"IO 1\ _ ~ 1_ Q '"
SPRINGFIELD, OREGON 97477 L-)
INSPECTION REQUEST: 7ilP-li~ Slgneture S n
OFFICE: 726-3759 ~
1.
LOCATION OF I~STALLATION
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LEGAL DESCRIPTION
J'7,€J 2- :~,.." ') d. J.t!:) 2./) 7
JOB DESCRIPTION /J ~
~-A ~ ~~._.
Permits a(e n~-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.
Electr'ical Contractor ~ ~'
Address /01'2- ~ ~ - ,~
Ci ty ~~ Phone 72-9 -(f:CO
supe'rviso(License Number ?rS-$
/4/ f&
Constr Contr. Number' t3(J7f5B
1z/95
Expiration Date
Expiration Date
Signature of Supervising Electrician .
~~: '
Owners Name~ ~/& <f;ll,)
Address
Ci ty Phone "7d7-./1Y'J8
. . ~ ,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
-------------p- -~-- -----------------
DATE: I/. .J./- V _ _,
RECEIPT 11: .' /'"). Ca,) "
RECEIVED BY: ' _ //~ =:. __
q'ir ' - \..
ELECTRICAL PERMIT APPLICATION
Ci ty Job Nwnber .g cS/SCl-.? ;;>
3.
COMP~TE PEE SCHEDULE BELOY
A. 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
$ 85,00
$ 15.00
$ 40.00
~s or Feeders ~
lation,~terati~
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
I
$ 50.00 ~~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or F.eeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 ~mps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vol ts see "B'~ a!Jove
D.
Branch Circuits
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 Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SU8TOTAL OF ABOVE 5b,t>O
5% State Surcharge ~,$O~
3% Administrative',Fee J, ,ro
TOTAL '\ ~Lbf.L
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