HomeMy WebLinkAboutPermit Electrical 1995-10-23
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SpRINGFIELD
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The following pr::>ject 0<3 GU )ffi,Uij\.I ,_,." 1:".H
zodl1g, .2nd cJes not r~qulro spec!1'!c land u~e
approvel.
. Zoning l- D R...-
pote-W) \ ~3 \'15
97 4 7~,I'lhortzed Signature <::..,,,
726-J769 " I;
225' FIFTH STREET ,
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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. JOB DESCRIPTION .
~\}.h 100 ctrffi'f-IlllI\..Ij{N.J + .5 ~.
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
Electrical Contractor...c...~~ P 0 Ol'lrUlI, ~,
I .t
Address P. [). ~rJJ l~g1->
Cit~l\if{\W.O~N\_ Phone 1t.f!-~')..;3(O
Supervisor License Number 16Zb:)
Expiration Date 10- 1- q 10
Constr Contr. Number-- 03 ~Ltq
Expiration Date
q-I-'\to
S~re of Su
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L,../'/W
Owners Name pJU. t, ~ V1\Jt\ltYY\\_
Address 'J.'d-~'3 ~
Cit~~~VO\~Phone fJ/.}'1 ~ g Iq&
OVNER INSq~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~-------------l--------VJ~----------~
DATE: ()~Jt',10 ,10'-1 . ~ . "'?I .
RECEIPT 11: ~-._". ' 1J1l.1/)/C1
RECEIVED BY: I'/OW
ELECTRICAL PERMIT APPLICATION
City Job Number CIS I&C{J-;
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Singl~or
Multi-Family per dwelling uni t.
Service Included:
Items Cost 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
.B.
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 .1f').OO
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits'
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 5
$ 35.00
$ 2.00 10,00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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