HomeMy WebLinkAboutPermit Electrical 1995-2-1
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e.
, The. follO'wlng project BS submitted has the 10'11
zOning, and does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-~b49
OFFICE: 726-3759
Zonina
Authorized Signature
1. , ~OCATION OF INSTAL~TIONQ
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LEGAL DESCRIPTION
J7"t!73- ~ -3"2 t'? .I9t:>-CJ
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if'~ork is suspenaed for
180 days.
I'c- J
2.-' CONTRACTOR INSTALLATION ONLY
Electdcal CO'ntractO'r 'Rtl Vl bn uI1
Address 42-ib<6 VV"IbJ<.f'Qj ~)(k-l2cL
City k~ \ 0r~ Phone q"31- 3741.
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n.
(1-i~J--(lc..
Supervisor License Number
10- ({~
q bi7t!
~q5/
S;t}:e~f Su i~g tct~:cian
Io..iers Na;;; 'ft.t \ \h m~ uJ ood
~dress 0i;R C(1) ~ Ur'..NvvI.(l
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MtY.:t"\'-T c\Phone
OVNER INSTALLATION
Expiration Date
C.
r J" '
Constr Contr.
4
Expiration Oat
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
,
Ovners Signature:
DATE: -;Z~/-97
RECF.Il'T II: /~/~ /'
RECEIVF.D BY: ~......, ...._,
ELECTRICAL PERMIT APPLICATION
City Job Number 95"o//~
A. Ne~ Residential-Single or
Multi-Family per dvel1ing
Service Included:
" COMPLETE FEE SCIlEDULE BELO\l
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D~e11ing
Service or Feeder
$ 85.00
$ 15.00
S 40.00
Services or Feeders
Installation, Alterations
01."" 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
$ 40.00
$ 55.00- o'
$ 80.00
volts see "B'I above
D.
Branch Ci rcui ts
Nev, Alteration or Extension Per Panel
One Circuit 1
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00 3[:;191)
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
"77' -=:>
~-~
/.~$'
31' ?c)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL