HomeMy WebLinkAboutPermit Electrical 1995-3-24
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S....nINCFIELO
TM following project M oubmltledhas the lollow
lonlng, and _ not require .pacific land use .
225 FIPTII STREET . approval. ,/) ELECTRICAL PERHIT APPLICATION
SPRINGFiELD. OREGON 97477 ZonInQ ~ 171 ,/ q bd-v> Q J
INSPECTION REQUEST: 726-3769 /ztI/C;'~ City Job Number '-JJLLJ
I ,. O~CE: 726-3759 Dole ':1, , J ~ I
, ' .1IlJlt>ortzed ~ IV M COHPLR'fR PEE SCDEDULE BELOV
1; "J.ACApON OF INSTALLATION -
'-1lO't ~\:r,,^-\\\~u.r\Of2----' A New Residential-Single or
,.,' " . \ . Hulti-Family per dwelling uni to
-1J~~e!IS~IOND45\'7 Service Included: Items
J... J()B~ESCRI ION "'::(, . - .L 1000 sq. ft. or less
~ c:::\ u (\lJU'.u.tL'S.- Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Hanuf'd 1I0me or
of issuance or if work is suspended for Hodular Dwelling
180 days. Service or Feeder
'2." CONrRAClOR INSTALLATION ONLY B.
Elec'trical Contractor1!~IA/ V\(Lt1 EI.EnKlc..,
Address "PO ~o)C 2...1"'ia"J
City ELltSFfJE..
(P8b - z.as
~z.oL.5
Phone
Supervisor License Number
Expiration Date 10"1-00
Constr Contr. Number ';loM
Expi'ration Date &, - 2.., -'1~1
S~~~le~~iCian
'it O:ner: Na)D~. \--\ t
Address ~~ ~~
City ~d. PhoneJ4-1'~
o~ I~ALLATION
The, installation is being made on
property I own which is not intended
for sale., lease or rent.
Owners Signature:
.'
DATE:
RECEI'l'T I: .
RECEIVED BY:
--~-:~Y~9~--------
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Cost
Sum
$ 85.00
$ 15.00
$ 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 ::J)
$ 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 100u
$ 40.00
$ 55.00
$ 80.00
volts see "Il"
above
D.
Branch Circuits
'i
New, Alteration or Extension Per Panel
One Circuit $ 35,00
Each Addit ional
Circuit or with Service ~
or Feeder Permit \.~ $ 2.00 ~
E. Hiscellaneous (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 &.dJ
5% State Surcharge ~.rscJ
..-u.~ . 1. ink
': to 0 .1<S