HomeMy WebLinkAboutPermit Electrical 1995-2-2
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SPRINGFIELD ,.., I, .'1
The following project es submitted has the fo1
zoning, and does not require npecific land use
225 Hun STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L-D/2.--
INSPECTION REQUEST:. 726-3769 /'
OFFICE: 726-3759 Date '2/L-CJ">
Authorized Signature 3 .I\f'FItHPLETE FEE SCHEDULE BE LOll
1. LOCATION OF IN~TflLLATION
1..0:J~1' r-,::tt, \'UU.. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
..~ I r\.fi\I '" '1-\)1 iff\Nl\~ \ , .h\M \ 1M l\1L J..o nt.AAJ
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~~ {J ~D..ct~11I \ _,
Address P.D, W, \4-~1-,
Cit~~c\.irN0l);a~rl' Phone~-1'J-%
Supervisor L~~ense Number IIn \l h 51
~:DESCRIPTION
170:)Z.5l-j~DOqO 1
Expiration Date
IO-I-Q5
oM,l.j.q
q-l-q5
Constr Contr. Number
I
Expiration Date
Signature of Supervising Electrician
;a~ a.'/~
Owners Name _~....I '"" <\ t": --to 0 ,
AddressjD.')rf~~, (In!.
Cit~rM)L.O~d.l Phone~q- toti2.Q
OIlNER IN~ALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------~I'~/-~~---
RECEIPT II: /(,1).:1 .10
RECEIVED BY: tf' >r".......,
City Job Number
7' ,O'-DJ'
Items
Cost
,
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 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 "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 ~o
$ 2.00 ..AQO
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
/I"I.OQ
1,$35
I. II
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