HomeMy WebLinkAboutPermit Electrical 1995-12-27
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SPRINGFIELD
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zoning, and doe& no. ...., t".-
approval, ~(L
225 FIFTH STREET Zonin ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON02Z477 /d- :)7(1/
INSPECTION REQUEST: IZb-3/69':a..-:o ,City Job Number qSI <0 ~
OFFICE: 726-3759 Aulhorlzod Slg""lur~ -I
1. ,/ LOCATION OF INSTALLATION
,+5 2 $ ~H-Y;
\ <:/ LEGAL DES~PTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~ @~lItfu{\ ll~'
Address P, 0, RId 14 g 1->
Cit~Phone '14/-j,')..Bb
Supervisor License Number _I {., ~{., S
to-I-qlo
o:\Z4Q
q-I-qlo
Expiration Date
Constr Contr. Number
Expiration Date
~:;da~;i~
Ovners Name
Address 4~ 2 ~ $A ~
City.J~r\Jm~Mutd..LPhOne '1J.tt -13g~
OVNER IN~~LLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent,
Owners Signature:
~~~~~~~~--------------------
RECEIPT #: (JI'1lS '17
nUI"'VTUpn p'y. ~. f ~ J~O
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
Installa1ion, 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 Ol- 1000 vol ts see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or vith Service
or Feeder Permit
$ 35.00 55'.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. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
35'.~Q
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