HomeMy WebLinkAboutPermit Electrical 1995-8-22
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The following project as submtttod has tho fol[owing
zoning, nnd doss not reqllire spcdHc lcnd '.is':)
approval.
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ELECTRICAL PERMIT APPLICATION
City Job Number 9~eJ9.3 7.
l-Unt"LlHI> FEE SCHEDULE BELOV '*
New Residential-Single or
Multi-Family per dwelling unit. ..
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOCATIpN OF INSTALLATION
/"7 41 >>:/~A } Sr
1.
A.
LEGAL DESCRIPTION
/7/?"!J 'J~ 31
C2t:.'i:>CL
Sum
Cost
It ems
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
..1161) {'~f//,rr;
$ 15.00
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 Contractor 5TtJEN> fJJiC172I (
Address P,o, Sax 14-8
Ci ty rJeXn'rL
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
B.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Phone 9<'7- 3372
Number 4r.fJtf'"S
/D/{'9c;
Supervisor License
Expiration Date
Cons t r Con t r. Number q h 220
Expiration Date I.--LlJ 76-c<).14Qlp
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signa~f, Su
---c:r A ^.;1
Owners Name
Branch Circuits
D.
"
F~~4Isl.Z't )
New, Alteration or Extension Per Panel
Address
?L;f!10
-L= $ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
.
Ci ty Phone ~4 -/07/
$ '2.00 ~D
OVNER INSTALLATION
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 4"l.CtI
5% State Surcharge ' ~~J-
3% Administrative Fee /.f1:7
TOTAL c:: 17 . ~ ;;l.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
r'Owners Signature:
~~~~;:-:~--~~~~~~::~--------
RECEIVED BY: .~"7f"':.A "