HomeMy WebLinkAboutPermit Electrical 1995-3-1
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SPRINGFIELD
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he, following project as submitted hEi~ the fr
ZOflmg, and does not refiuifti SP&c:t,., 'nr'" U
approval. .... ... .- Il.. ~
225 FIITH STREET , 11/1 f'\ /) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonmg....'Vlj.L(L/
INSPECTION REQUEST: 726-3960') -I -i", City Job Number c; 5"0 ZW-
OFFICE: 726-3759 ~}
AUlhorizod Signature I) f"--r<OMPLETE FEE SCHEDULE BELOV
1.
LOCATION OF INSTALLATION
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/J:GAL DESCRI!?'}'ION ~.... ----,
11 bL '7:ltJ LjLj OIVU/
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started 'vi thin 180 days
of issuance or if.vork is suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor {;U(jn1 f/eitiic~rZlL<C'
Address P,f},Box 23,v2<f
Phone 3<f1f ~~51.-1
City~/.611!:
Supervisor License
Expiration Date
Number --1JL'11 s
Jnli )Cf5'
Constr Contr, Number ClO:loO
Expiration Date
~'2,/17/91..
Signature of Supervising Electrician
1: f'j/U~
Ovners Name~rt1 _S ~ h_
Address_lf0 [8'<{t)~ rOtit::::h
Ci ty fa ~VIIfJl<. '1.liJJLPhone 1'11-01//'1 n""rrtd
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY:
'f-j-'5'S-
/Cp<7-75
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A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
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unit. ~
Cos t Sum
Items
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
B.
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
Si2- t:JO
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. 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
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service /'
or Feeder Permit ./' $ 2.00 2&fl)
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 ..n...m
5% State Surcharge'}..(;.o
3% Administrative Fee l~~'
TOTAL ~. I,"