HomeMy WebLinkAboutPermit Electrical 1995-7-21
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,
e, C oWing proJect as submittod has the folJowin
zonmg, and does not requlft;l spocfflc land. -lloJ
approval. . U
225 FIFTH STREET Zoning L--Ot2...-
SPRINGFIELD, OREGON 971{J,i9~ l-kt.,-:;' .
INSPECTION REQUEST: 72"-3769 N 1\11
OFFICE: 726-3759 AUl!,oriZed Signature I V\
. 3.
1. L~O~~~~~'
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Permits are non-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.
Electrical Contract~~109ffi llid
Addressm~\ ~~
Ci tY.Yi TJ.E (\0 Phone~CO. CA~a
Supervisor 'ticense Number ~ 1\ ~
\0. \.C\S
Constr Contr. Number r~2..C\l 0
Expiration Date \c:4.. . \() .C>f\
'Expiration Date
Si'"'(I]Jl S"~d~
Owners N';'me \{f\X\ Turn y
Address ~ I 'i\0j\ O~
Ci ty ~r\ ~ C _Phone .4=U3
-;;~;::\NYALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners'Signature:
--------------------?f---~-------
DATE:. Vl''l,l.vtS, \!':"'):r:
RECEIPT 1I: 1 ',":;) 1'.-'w.-
RECEIVED BY: 'fJ\ UJC -
A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number d.5lZ.1 n ~ .
COMPLETE i>EE SCHEDULE BELOY .i{., .
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
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
Reconn,?ct Only
$ 50.00 -.fj()
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 100u
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
,"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service,_
or Feeder Permit ~ $
2.00
1'2..
E. '
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
1~
40.00
40.00
20.00