HomeMy WebLinkAboutPermit Electrical 1995-6-20
The fol/owfn '
zcning, and ~ pr%ct ~!; submftted h
approval, Oes not requi,e sPec;f ';s tile folic-wing
. ' Ie land LiSO
20nin9. C!..-u
974 nD.le J..p.:::-2o:::!J. {" ..
726.l<3V69zO<J Slgn.lure_ N'rv1
3.. COHl'lliTrri'EE SCHEDULE BELO\1
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.. LACPIO~.F INSTALL.fJ;IOt{, . i
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LEGAL DESCRIPTION ~-::"'\
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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 B.
Electrical Contractor 'i;e\+c. \=1",rt-. SIIe..
Address
\5<5(")
RG(I'C- ~~.
Phone Lj(...,/- 0060 /
Ci ty :'-"a.P"-T'
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Supervisor License
Number 39 J 2. S
In/ II CiS
Constr Contr. Number ( It 75<C!:::,'?,
Expiration Date ?,!z8Ictc"
I I
Signature of supervining Electrician
C\.J. ~ ___ljJ.n:>tM~ ..'
~~o:n:: ~\o\')n~~(\J\\'M.fl.u)0 D..
Address...JDl \ t~O rY\ l)~ i ,4)
Ci ty Y.I. Y\Q,t\,Q../ Phone I4l ~ Sl~
OIINER I~TALLATION .. -
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~;~-:~-----~~~:-~~{T)-~) ~~-1~~---
RECEIVED BY: ~\j)0 -
ELECTRICAL PERMIT APPL~~TAO'"
Ci ty Job Number C\S(}\\k'\
A.. Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
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
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 ampslvolts
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
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
above
Branch Circuits
"
New, Alteration or Extension Per Panel
$ 35.00 ~
$ 2.00 lli
\
One Circuit
Each Additional
Circuit or with Servicrl
or Feeder Permit ~c
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
40.00
40..00
20.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
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