HomeMy WebLinkAboutPermit Electrical 1995-8-9
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SPRK,ELD
The following project a5 submitted has the fol!ow'
zoning. i.~;,;.i ,j;:'0& ,~vt requiro specific lan{,: IJse
approval.
Zonina
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477-::'e/.~ A I.
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1. LOCATION OF INSTALLATION
'2 ~ ~~ ~.Al'//V' :"'-",,",
LEGAL DESCRIPTION
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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 suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor R R JJ'itW .D.A>-"l2t:"
Address t.!2.."7 Y\,oj).Atf"]::)1(
.<U: lC 1"7', 0,,"- q.., ;
Ci ty['"/'v Phone '1? O~I '1, <-
Supervisor License Number :1 7 ('{ S
Expiration Date 10/61 /V-
Constr Contr. Number ~/OlI'/
Expiration Date d"J /1'7/77
., ,,', Signatur~ of S~ViSing Electrician
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OWn02l'S Ham" S mUAJKS 77K!l
Address 2 h,SC:J ~N.J"'/
Ci ty Sf h n}) Phone
OVNER INSTALLATION
The installation is being made on
property I 'own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~ -#IJ. '91?"
RECEIPT II: /~ '5"'"/
RECEIVED BY: ~~.
ELECTRICAL PERMIT APPLICATION
3~t~. Job Number "9.5'-/3/)/
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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 'Dwelling
Service or Feeder $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.D.
Branch Circuits
.'
New, Alteration or Extension Per Panel,
One Circuit }
Each Additional
Circuit or with Service
or Feeder Per~it
;> r- cr8
$ 35.00 oJ..J
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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