HomeMy WebLinkAboutPermit Electrical 1995-8-18
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"
. ' ct as submitted bar, th? f<::>l!owing
The following proJe , ". . ")":.\ 'oS"
zot;intJ, and does not reqUire SpiJ'~ldC .'-', ~ v
approval.
~ ELECTRICAL PERMIT APPLICATION
97477 ,Zoninq , i (i'
726-"fJ7.Je9 ~ /,1'6 rq., ('?{Ah~ / City Job Number '\ 5 \3l O(
Authorized SIgnature 'fl'!l~- vvtit'LlITE FEE SCHEDULE BELOV
LOCATION OF INSTALLATION
~~cr 6} sT
\Y[<03 ~~\TION tx>\ 0 {
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
~B DESCRIlTION
~ S' u. B t' Cl&.N\.'t ~
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contl"actor---.f..kvrl".1'LEJ~ .
Address~D.~ 4Gol
City ~~()(L Phone3~J -~{)O
Supervisor License Number ;;).7..5;2.. .s
Expiration Date !O_/- '1 s-
Constr Contr.,Number 0 1 C, '&'" ~ f
Expiration Date lO - J - 9 S
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
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installa.tion, Alteration or Relocation
S.i~ur~ of~p~ising Electri5J~ ,~
,~_._ j" (m/~"~Y
D.
Ovners Name L ~tJ...('\es m\~O r-
Address (/(/q
, ...
Ci ty Sf4.J(K~
OVNER INSTALLATION
cp r7'~
Phone 72. 6 ... '1-9 /(j...
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
~'~~
~~~::-:~--~----:--~~~-----
RRCRlVED BY' (~""- J - I
200 amps' 'or less X $ 40.00 40.(9.0
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80~00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
,
.....; .
New, Alteration or Extension Per Panel
$ 35.00
, One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
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
not' included)
$
S
S
s
40 .. 0--0
'> ~.'U)
4-~~
40.0q
40.00
20.00
36.00