HomeMy WebLinkAboutPermit Electrical 1995-5-11
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The folluwing I ' ,."
Zoning, and d P oJ.cr as Submlrt&d h
225 FIFTH STREET approval, 00. nol r.quir. .peclficaf.~~ ~~jlBm.rCAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 loru L
INSPECTION REQuEST: 726clr76!l.. nil , f'vv/ City Job Number 9'5""'~./?
OFFICE: 726-3759 7 :::r-tt-:-t11 --
L /1.,111".,,,,.. ' 3.COHPLETE FEE SCHEDULE DELOV
1. LOCATION OF INSTALLATION Signature I.J h,..
4"~ c.;..,. M..4Y'./V' q/", ~ '-ff;. !leu Ilps iden t ial-Single or
Hulti-Fami~y per dwelling unit.
Service Included:
LEGAL DESCRIPTIO~ AV'.I..-...
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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 suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor_'::; riCSOtl E/ec.-fri(, kc..
Address -p. 0, fJ){)'x .17
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qC?~-S~4g
3~.21 S
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COJlst.r Contr. Number q 'i'lO ~
H,- 'fq
Ci ty,J'undion 61f-- Phone
Supervisor License Number
Expiration Date
Expiration Date
Signature of Supervising Electrician
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D.
Ovners Name~K~~/~~
Address 4'V~.c:>~/V"5:/<-.
City ~~. ;hone "7~-...?27"6
mINER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
..~L.J:)"".r.J.l...T I:
RECEIVED BY:
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Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit -----$ 35.00 ;'5:-
Each Additional
Circuit or vith Service
or Feeder Permit / $ 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 $ 36.00
5. SUBTOTAL OF ABOVE "'3':/. --
5% State Surcharge / .~
3% Administrative Fee /.~
TOTAL 9'9..