HomeMy WebLinkAboutPermit Electrical 1995-5-11
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. . bnllttod has tha following
The following prolactt::::~lra .pac~ic land usa
zoning, and doe9 nO r_-. ~
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Zoning l,..-1l
225 FIFTH STREET ' 4 T ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 971d~. ..:S-" - ':'
INSPECTION REQUEST: 726-tl~JcsSignalura fJrJ-: ?i-ty Job Number 91/ !'-/9
OFFICE: 726-3759 Aut 0
l. JP~ATJON OF INSTALLATION
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LEGAL DESCRIFTIO~
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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 .B.
Electrical Contractor L L€ E:I~(....
Address 4loi .j~s~ b(2...
City~I~.~\1= Phone ~<6i-qoS'"1
Supervisor License Number 237q - S
Expiration Date 10 -1- q7
Constr Contr. Number-.1D:<:;4:J~
Expiration Date 3-30-&1(.,
Si~er~~cian
,
Owners Name
JA:-Cl::-
/.// D.
/U ,!i..y, 5 Ttl-U
Address
City Phone-.2,47-tJ/bO
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------~-7------------------
DATE: SI/I//rJ- ,
RECEIPT fi: ~ ( /7 ,,,",LL._
RECEIVED BY: /~.
.......-~ .,.. j,,-,.-'\....
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sQ. ft . or less J S 85.00 ~-66D
Each additional 500
SQ. ft or portion .-&0 ~()
thereof 2- S 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder S 40.00
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 --'-- $ 40.00 ...ft2 10
201 amps to 400 amps $ 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
S 35.00
S 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 _ -L55:tn1
5% State Surcharge 7.7;-
3% Administrative Fee f/;J
TOTAL . ,,If, 7. ~t'J