HomeMy WebLinkAboutPermit Electrical 1995-09-27The lollowing proiect as submitted has the225 FIYTE STREET zoning. and does not require spocltic land
SPRTNGFTELD, OREGON !/illpr u
INSPECTION R.EQ[ EST z 726-3
OFFICE: 726-3759
'r- :.t:
1 LOCATION OF sig4'lrr 4a,,,*
SP}lIiIGFIELT'
CAL PBRUIT APPLICATION
Ci ty Job Nunber
3. COHPLBTE FEE SCBEDTILE BELOII 57qZ
I A; --r[gs-Kgsfo ential-Single or
MuIti-Family per dvelling unit.
Service Included:
Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
c
Nev, Alteration or Extension Per
i7 OSzs 3 3 00 560
lC-
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspen-ded for
180 days.
2. COI{TRACTOR INSTAI,T,ATION ONLY
Electrical Contractor
Address tt?OZ W Ltg
Phone GtU ZnG,
200 amps or less
20L amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/vo1ts
Reconnect Only
"*r)Sum
JOB
R.err,",
Ci ty
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
Supervisor License Number Je 5,2 ,/
Expiration Date /O-
Constr Contr. Number .?0-iqS L
Expiration Date /0 -/- 7 6
S of Electrician
Temporary Services or Feeders
fnstallation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps
-
S S0.00
Over 600 amps or 1000 voT[s see uBu affid
Branch Circuits
0vners Name Bo
adjre'ss /1'1O S.2ro sT-
OIINER INSTALLATION
The installation is being made onproperty I ovn vhich is not intended
f or sal-e , lease or ren t .
Ovners Si5Jnature:
One Circuit I
Each Additional
:i';::i":'nxiil,'"'" 2b
C-,\*GCntLpJ'
$ 2.oo 46.oo
$ 3s.
s 40.00
$ 40.00
s 20.00
s 36.00
E. Miscellaneous (Service/feeder not included)
-Each insta]lation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
-
Limi ted Energy./Comm
5,oo-
DATE:
RECET
RECEI
5. SUBTOTAL OF ABOVE
5Z State Surclrarge
32 Administr-ativc [ee
TOTAI.VND B /.oo -
CITY OF
Fs
B.
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Panel
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