HomeMy WebLinkAboutPermit Electrical 1995-10-13 (2)
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The following project as su m.5 ,as e 0 0
zoning, and does not require specific land use
approvaL
225 FIITH STREET Zonina ()L ()
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726.QJUQ !dJ2/.!15
OFFICE: 726-3759
Authorized Signature_
1. LOCATION OF INSTALLATION
20"5 DoRRI-. srf?ar
LEGAL DESCRIPTION
I~IJ<. (J)_ on t':)/')~2-
JOB DESCRIPTION
'P/lu ~~ 16 B..ffC1'1Z II" .r. rrE
Permits are non-transferable and expire
if ~ork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervis'or License Number 411)2:0: S
ExpIration Date /n-/-9,R
Cons tr Con t r. Number IV f-A
Expiration Date
tufA
Signature of Supervising Electrician
~D,~d
Owners NameJ":/h.^^,,,{Ll"''' (:?,~k- I\JSH/I1T
Address....6.Bo ^ I, 34.,.-H
Ci tyS:fR.i...:r-:C/"'O'\
Phone:22,.?-4'30-
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~AYJ1~4 V ,13~j/
----------------------~-- -------------
DATE: /8'//' 'j',s-
RECEIPT 11: { 19~ ?> 4-
RECEIVED BY: ..v-P' ~
-<t
ELECTRICAL PERMIT APPLICATION
City Job Number
C;51~S/
.of
l-Ul'lrLr.lr. ru SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
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 $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 tlB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35:00
$ 2.00
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.
-9"iS:DO
/.75
1,05
l' ~7.Bi')
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL