HomeMy WebLinkAboutPermit Electrical 1995-5-9
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The following pro! I ~Sequire specilic lend use
zoning. and doss no
225 FIFTIl STREET epprovel. L-U
SPRINGFIELD, OREGON 97477 Zonin\l /' .
INSPECTION REQUEST: 726-376~-1-':j')
OFFICE: 726-3759 Do1e_ .
Authorlzed Slgnatu..
1. ~~~ OF IN~W'~-
'r - ~ H iT~
\(fr~~~Tb\
\I JOB ~S~ON ~ ~
pe~~: are ~o~_t:~sfera~le\land' expire
if york is not started 'vi thin 180 days
of issuance or if.vork is suspenaed for
180 days.
2..0 CONTRACTOR INSTALLATION ONLY
Electrical contractor~~
Address lCf10 rJ. rz.B7t1.sT'
Cit~?0f1Rf) Phone 1#ZZ13
24~j
Expiration Date IO-/-C1..,,\'
Constr Contr. Number 11.11t2
~- 1.:1...:45,
Supervisor License Number
Expiration Date
ature of Supervising Electrician
.i.la:h!il4-' <-
ners Nam~e'U~M7'.-tJ
ddressCIo ?I~Vl St-
City~~ Phone 71;-/1.J7
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Owners Signature:
------------------V;0-- ---------------
DATE: 5: 5' '.f'S' .
RECEIl'T II: /7 i-C:U-
RECEIVED BY:~~_
t-Jf'1'-
.;>.
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number
q~/)~9
,
~UMPLETE FEE SCHEDULE BELOV
A.
..
Nev Residential-Single or ;k
Multi-Family per dvelling unit.
Service Included: .
Items Cost Sum
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf' d Home or
Modular Dve11ing
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. I
$ 55.00" o'
$ 80.00
see "B" above
D.
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
s
s
s
S 36.00
~ 40. q.2
'L.OD
( /?l)
4.. ??fJ
40.00
40.00
20.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL