HomeMy WebLinkAboutPermit Electrical 1995-11-27 (2)
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SPRINGFIELD
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ELECTRICAL PERMIT APPLICATION
City Job Number q S 10~9
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37~Qe
OFFICE: 726-3759 A.~k_ '
MUUlUrtzsd SIgnature, 1
1~ LOCATI~N OF INSTALLATION
,DPO (.'.r>m,1Y\.I!f''I'2..C.. /.A-L- A.
Zoni1\0I
New, Alteration or Extension Per Panel
One Circuit I $ 35.00 3i).()O
Each Additional
Circuit or with Service
or Feeder Permit 32- $ 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
S. SUBTOTAL OF ABOVE 99. 00 '
5% State Surcharge 'f. Cj,:j-
3% Adminis tra ti ve Fee j, 1::2.-
TOT AI, __l.O_2_/J '7
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J) LEGAL DESCRIPTION 1702- s I I Lf Ct.j3lJO
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/J JOB ~DESTWlO , to
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Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if,work is suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~vJA4<~~~0
Address ~ ,v/esr ~f-It 8t'J'
Ci ty gvq~~ Phone ~~- Z3~~
,
Supervisor License Number ~~~$
Expiration Date /0 -}:- C;f\
Constr Contl-. Number 2o-It.f.C; L.
Expiration Date /0- /- t:j'~
C.
Sign~ of
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ow~ers Name ~'~ ~l
Address 655) } ~ ~ Ifd,
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Ci ty ~ ' Phone 747- 3ZLfS
OVNER INSTALLATION
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D.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D^TE~11-::~~::q~--~-----------~-----
RECEIPT fl: U lq (o-r;
RECEIVED 13Y:___!J~ ~
. 0Q,t1~~!~N~~.;CHEDULE BELOY
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'dHome or
Modular Dwelling
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
Temporary Services or Feeders
Installation, Alteration or Relocation
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 "B" above
Branch Circuits