HomeMy WebLinkAboutPermit Electrical 1995-2-13
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The, fofiowlnn prc1E:'ct us aubrnktGd has the following
zonmg, r.;nd does not roqulr& spaclfic IrJ1d use
epproval.
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
I1M'7 (iAI'i!:WA'I L(1.
LEGAL DESCRIPTION
'ZAVt::D "DJt.. ll032.)?'? 02.300
~ DESCRIPTION J.
"P-MOf::,aL /AbDm6A
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
City Job Number
ELECTRICAL PERMIT APPLICATION
g~1870
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
Items Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor~L€. E.Lec--rIZ./(" or Relocation:
Address 3'j If:, '2,J~rz. '''2~.
City~t:- Phone.~ .....'1.J1ilZ
Supervisor License Number ,zp,L~ S
Expiration Date l()vQCl
Constr Contr. Number....l(p-Z.~cr L
Expiration Date j~-C{up
~(P~~
Ovners Nam~~
Address"-- ~~.
City~
Phone .......~...- ....
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~ers Signature:
~E~-2=~f--~-C7~:---~---------------
RECEIPT #: 6-A'r)':::> 'IS
RECEIVED BY: J-5' On ~P()
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel ~
L $ 35.00 Y
One Circuit
Each Additional
Circuit or vith Servic~
or Feeder Permit ~
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
$
~
2.00
not included)
$
$
$
$
43. C5D
,,),1'-:>
i '~c,
4-G> . '-I Lf
40.00
40.00
20.00
36.00