HomeMy WebLinkAboutPermit Electrical 1995-3-27 (2)
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SPRINGFIELD
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The following pro)
zoning, and dooa = ~o .~bmltted h2s tho toli
approval. equl(e specific ISnd use
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
iO!!r .pESCRIPTION' L'
l. \ f:ICl l' Q . d')}(\ ~\\ 1'\.0.
permi~s 'are non-t:ans~erable a~\^X~ire
if work is not started within i~days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION'ONLY B.
Electrical contract~~~::::' <rlllg
Address&1 ~ \ N\m'-~ .
Ci ty Y.... TIQ..M ~ Phone4P>CO. CA~a
. Supervisor ~icense Number ~ fJ f)~
Expiration Date \~. \.<=\:=S
Constr Contr. Number_ C"'A2-C\lo
Expiration Date \'A . \0.1\.1\
Signa~~perv~cian
. if
Owners Name::.-n\\f\:::', I') 0 }[\n l. _ D.
Address~'S ?J ~ 6S'-'\[\\~ ~ \1V,
Ci ty ~.i Phone \.-
mINER \Nsi~~TION
v
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners' Signature:
~ATE~-----------=~~1):~---::-
RECEIPT 11: _ I pii,-,'iV'7
RECEIVED BY: 'fJ\lj..?5l:'t.--Y ~ -
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modtiiar'Dwelling
Service or Feeder
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
unit.
"
Items
Cost
Sum
$ 85.00.
$ 15.00
$ 40.00
\ $ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
$
$
$
$ 36.00
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