HomeMy WebLinkAboutPermit Signage 1995-7-25 (2)
Tho following project a .
zoning, and does not r~~bmilt.d has the following
approval. -"1 Ire sPecifIc land Use
Ct/
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning
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1.
LOCATION OF INSTALLATION
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JOB DESCRIPTION
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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
Electrical Contpactor ~N L.A,\,vQ-Er5
Address '-\":>'/\;;) W. \ ,4L..
Phone '2,'-\.l..\ -Co 1c:'~
Supervisor License Number '20- 'Z'<61 c.l- <;
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10 Ie; s
City
~~
Expiration Date
Constr Contr. Number
Expiration Date
AIM
. 3.
ELECTRICAL PERMIT APPLICATION
City Job Number q S I mg
COMPLETJ:. rl:'t. SCHEDULE BELOY ~
New Residential-Single or 1~
Multi-Family per dwelling uni t. 'r '-<
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 100u volts see "B" above
Signature of Supervising Electrician
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r--::;; D. Branch Circui ts
Owners Name '~IU'?T7".JA-j i-//4TT ~S7evC.770r0
New, Alteration
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Address
Ci ty '0 ~: .. u Phone
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OI/NER INSTALLATION 1 'of-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~-----------------YJ~~~~~~---
RECEIPT II: ,-.J " _1\4.""~
RECEIVED BY: tJtiHU \'J . 'J-
"
or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting I
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
~4
40.00 ~
. 0
$ 36.00
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