HomeMy WebLinkAboutPermit Electrical 1995-12-12
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225 FIFTH STREET ale \ ::>- ( e.+i- S ELECTRICAL PERMIT APPLICATION
SPRDlGFIELD, OREGON 97477 0 - I .-tVlP
INSPECTION REQUEST: 726_3769u1hCrlZer.\Sl<JI"'lure- I Cit; Job Number t? 5/stJS;-
OFFICE: 726-3759 ~
3. COHP.LETE FEE SCHEDULE BELOI/
1. LO<;ATION OF INSTALLATION
~2.~ S' /?'7A7A.J 5"r A. Ne... Residential-Single or
Multi-Family per d...elling unit.
LEGAL DESCRIPTION Service Included:
/7~2 -?'2.. '1-1 ~2-q.9/
.,
JOB DESCRIPTION
.l~~~f?1P./Aq'J7/')"') LlbJ,t?-/.-
(A;l>J~T ~ tfJf( C4AtC~h'r
Permits are non-transferable and expire
if ...ork is not started within 180 days
of issuance or if ...ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
I
O...ners Name 15~ J>>tJL'2.Jf'
Address ~~ ~A-AJ )./,
City .'Y?;c;1 Phone 747-/5"/7
OI/NER INSTALLATION
,
The installation is being made on
property I o...n ...hich is not intended
for sale, lease arrent.
Ovners Signature:
'j _",O^~/"O O~ ,/
---------~-~--~---------------------
. DATE: /2-?2/rS" .
RECEIPT II: /q~9A
RECEIVED OY: f//X,,--,-
"l l-
-
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'D...elling
Service or Feeder $ 40.00
O. Services or Feeders ~ 'UT /91;1cl~ S'O~
Installation, Alterations ~ 1'/1< p~e~._33tJ.~
or Relocation: 17,~
200 amps or less L--- $ 50.00 56,-
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/vol ts $300 :00,'
Reconnect O~ly $ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
.'
Ne.... Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ...ith Service
or Feeder Permit
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
3% Administrative Fee
TOTAL
$ 35.00
"
$ 2.00
.. .
not includ~'d)
. t.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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