HomeMy WebLinkAboutPermit Electrical 1995-8-29
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SPRtI,'ELD
bmllled has the following
The, tollowing pr<:lec; a~~ira specific land usa
zoning, and doe~ nO r.....,
225 FIFTH STREET approval, l\f\ \D~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zenino 11\. ~/
INSPECTION REQUEST: 726-376oitb\\'15 City Job Number ~'Y~
OFFICE: 726-3759 ooteJ/:s - ~~ Cr. "'-'6 r? 4.0
AulhQriz Signature Nl(\/\ COMP,'''''',! '';"". SCHEDULE BEr:O..r
1. LOCATION OF INSTALLATlON/.
97"7 ,t=;/ ~r ~). A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
11&92- n&; 2..:) ~p.e> I Items Cost Sum
JOB DESCRIPTION / . ,)
~Ure Y~.q#i'.f.A,~~
Permits are non-transferable and expire
if work is not started vithin 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor &y~~.
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electr-idan.
"/"') - 0 .
Owners Name ..h?~~,!R(~/2"~/ ...io-"V
Address '9~.r~~ ~
Ci ty ;:5:~'fJ ~ Phone ?f//~
OVNER INSTALLATION
The installation is being made on
property I 'own which is not intended
for sale, lease or rent.
/
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____L_______~__________________________
DATE: .I~
RECEIPT #: /Jij
RECEIVED BY: -
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT 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
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder perl)lit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /('.. ~
5% State Surcharge - . ~
3% Administrative Fee _ ~
TOTAL /-" .........,
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