HomeMy WebLinkAboutPermit Electrical 1995-1-20 (2)
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SPRINGFIELD
bmitled has the fo low,"
The.tollowing prole~t ~:qS~lre specific land use
zO/"l1ng, and does n
ZZ5 FIFTH STREET approval. . r
SPRINGFIELD, OREGON 97477 Zonino uY\-J>
INSPECTION REQUEST: 726-3769 -2,o-Ci (' City Job Number-
OFFICE: . 726-3759 Dote 1 . 0(V'-;;-;
Authorized Signature ';'~u, H.t. SCHEDULE BELOII
1. LOC~!lJlN <}Il INSTALLAT~ __~ O,J
,,'it f2!::i;.j r..::J() miL Y(llJ....lLLI,. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~GhL DESCRIPTION
_1:IU..il~or') , (j411'X
t... JOB D~ION I
-L11' f?.l ') ( )).. (11/)(11 u t7I )
. f
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
QC)ro30
1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Z, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Alert Electric r Inc. or Relocation:
Address
1970 N. 28th
City Sprinafield . Phone 747-2213
Supervisor Licen.se Number _3401S
Expiration Date
lO-Ol-gS
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 .:5f)
$ 60.00
$100.00
I. $130.00 ~
$300,00
$ 40.00
Constr Contr. Number
20-55C
C. Temporary Services or.Feeders
Installation, Alteration or Relocation
Expiration Date
lO-Ol-9.4
Signature of ~~~ Electrician
· 7.!f..: U'hrl. ~/M;
Address-11RL(, ...lyb. oot-
Ci tY~Phone.J44.q,,\-OO
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~:-:~ 1- j[J~-------------
RECEIVED BY: ( ,'2... ;';\ -r , J
~~~~ '
ZOO amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.. Branch Circui ts
$ 40,00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Servic~~
or Feeder Permit ~
$ 35.00
$ 2.00
5U
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
~~
$
$
$
$ 36.00
cO~~c)
I J -~,
(,."qn
~4~ ."'to
40,00
40.00
20,00