HomeMy WebLinkAboutPermit Electrical 1995-1-26
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SPRINCILD
The following project as submitted has the fol
zoning, and does not require specific land us~
225 PIFTH STREET approval.' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonine ru. q/ / I 3 0-
INSPECTION llEOUEST: 726-3769 l . -c.'/ City Job Number / -'- Z 0
OPPICE: 12'6-3759 Dele .' -.r; t
Authortz:ed Signature 3 tJ ptHPLETE PEE SCHEDULE BELOV
LOCATION OP INSTALLATION
AIL.A (Ai S T."
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LEGAL DESCRIPTION
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JOB DESCRIPTIO~ . 2"-,,,>#_1,.)\
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
\
Electrical Contractor P~l~~
~0
Address' '2;-{ 2-1 ~'(:...L.l^-.J ~iJJD
Ci ty 8J~ 8Y\J'E: Phone =3cf:. -7 ~'Z-
Supervisor License Number .;l? K -.s
Expiration Date 10 - / - 7~ ..
Constr Contr. Number
.~rJ
If-/~ -- '75""
Expiration Date
Signature Of. su~ervtsi-g EI~ctrician
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Ovners Name -PeTe12- I::::.. '1 o.R...l--
Add ress .
Ci ty. Phone. t.?k - 20ro ~
OVNER INSTALLATION
The installation is' being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
:~~l~t~~;~--------:----
RECEIVED B1':'-:I( /:Z~
,)
A.
New Residential-Single or
Hulti-Family per'dvelling unit.
Service Included:
*
Cos t Sum
Items
B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dvelling
Service or F~eder
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
C.
S 85.00
$ 15.00
S 40.00
l
~.~
$ 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
voHs
D. Branch Circuits
$ 40.00
S 55.00
S 80.00
see "Bit
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t or vi th Servic;.-
or Feeder Permit I ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
S 35.00
S .2.00. ~,e
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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