HomeMy WebLinkAboutPermit Electrical 1995-5-2
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S.GFIELD I'
The. following project as submttted has the- !ollow:
225 FH"fH STREET zan:ng. and does nat requiro speciflo lond u;e 'EUCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 91~o/9val. t
INSPECTION REQUEST: 726-3tli~ng CjY City Job Number b(.r:;C6l5'f
:~;~:-mn~*~~JJM :: :~:'::i::::.~~'95?^*5' ~r;
Multi-Family per dwelling unit. '-
LEGAL DESCRIPTION Service Included:
I~ D'f) ?rlJ~1 Ou.f1f'J1J Items Cost Sum
QESCRIPTI N ~ ^"r( 1000 sq. ft. or less $ 85.00
t:t! Each additional 500
sq. it or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd'Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLAT ON ONLY
'17.C--
Address. 1;)-/0 f!Jo [ ,4--
City !d1(J71:m& Phone!/t(--"f7-Ko
Electrical Contractor
Superv isor Li cense Number 2?l!1IDZ3'l
Expiration Date
(;j57Cf :;y
r;;.. -I--Q(p
Constr Contr. Number
Expiration Dat~
Signature
~\
of Supervising Electrician
r^~
O'wners Naine 01,10 (1111 b&fJ I fioJ'
Address q,,1 fN f
City ~ Phone~/(fJJ1
OIlNER INSTALLATION
The installation is being made on
property I own which is'nbt intended
for sale. lease or rent.
Owners Sienature:
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DATE: IZJ ':> ~
RECEIPT Ii:. ~ I~ ml /
RECEIVED BY: :UG'I14/
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'am~s/volts .
Reconnec t oiily.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installatiori, Alteration or Relocation'
200 amps or ,less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$-80.00
see "B" above
New, Alteration or Extension Per Panel
One Ci rcui t .
Each Add it i onal
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting I'-
Limi ted Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administr~tive Fee
TOTAL.
$ 35.00
$ 2.00
not- included)
$
$
$
$
~L..
-=1f~
?j ~O
40.00
40.00
20.00
36.00
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