HomeMy WebLinkAboutPermit Electrical 1995-6-21
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225 FIFTH STREET epPIO's, ~. _______ '
SPRINGFIELD, OREGON 97477 'lOpl\'M
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759 ~e SIIlOn\1l10
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1. LOCATION OF INSTALLATWI
572/ ,It{/?t/h STvc'r/f.
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JOB/D~SCRIPTION
Se.c-vr,"ry ~ C'c7// J#.5.Je/lc.~
/
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 Contractor CM-'$~ ~h1v tits
'I
Address Y"Z/..s- ,Ki'v"cxu'c/ 51-.
Ci ty 6v'?-e<-c e-
Phone C:, r'J-~7 t:.. ~
Supervisor License Number ..L.ZJ"S :T LE
Expiration Date /~~';?t:..
Constr Contr. Number 20- 'ZJt.7 C::CG"
Expiration Date
Signature of Supervising Electrician
14:- ?J~..
Owners Name
:Blim{Xtb
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners. Signature:
--------~-----r--~--------------------
DATE: ~/~/ ,4') ~'~flr
RECEIPT ' I' '-19 ,
RECEIVED BY:
,
. .
. ." ,.......:., ".
AL PERMIT APPLICATION
Ci ty Job Number q4 /C141
If
ELE
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Cost
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
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.
$ 85.00
$ 15.00
$ 40.00
"
$ 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 100u volts
.,"1"-
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" ali'OVe
New, Alteration or Extension Per Panel
,-
One Circuit
Each Additional
Circuit or WIth Service
or Feeder Permit
$ 35.00
$ 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 I $ 36.00 '3;'" 00
5. SUBTOTAL OF ABOVE 'h/.p - 0()
5% State Surcharge I~J
3% Administrative Fee i-"
TOTAL ,