HomeMy WebLinkAboutPermit Electrical 1995-10-25
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The following project 00 submitted hlls tho fol
zOr1!ng, and does not requlro specific land usa
225 FIFTH STREET' approval. jl n ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 zonlng...iJ:,.dJ6 ~
INSPECTION REQUEST: 726-3769 /.,... k;/ Ci ty Job Number 95'"1/5-=3^
OFFICE: 726-3759 Dolelf} o('/f..:L/
~ I 3. C9JlPLETE FEE SCHEDULE BELOII
1. )OCATION OF INSTALLATION"uthOrtzed Signature /-,... . .
:?1f) 'p/A/L ~ A. Nev Residential-Single or
Multi-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
)P,~f oz. -2/) /)/9/)-0,
JOB DESCRIPTION
f/FIV RESMJENt'L - ~AliUF#mI,/
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor </H/t- IJA/ J3lB!lnt!....
Address P, {). 15J)X ~3/5/f
Ci ty e./16llJf-. Phone 311-Lf9Z,gi
Supervisor License Number ~;;r~~--s
Expiration Date /f}-/- 99
Constr Contr. Number ~~~~
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion' #
thereof
Each Manuf'd Home or
Mod.ular.' Dvelling
Serv~ce or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Items
Cost
( Sum
S'S",a)
~o.av
4i.~' - .....
- ~ ~ -.
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
$ 85.00
$ 15.00
'.
$ 40.00
$ 50.00' 0'
S 60.00'
$100.00'
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
<'-lIr 91R
_ //J#P 6,(1fr..,6S
Address
Ci ty Phone '72ro-0' 37
01lNER INSTALLATION
"
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------/~~~=:;'~~------------
nt."r.J.d 1". ; //9~/J3 .
RECEIVED BY: /fJ7~~ '-
.'
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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