HomeMy WebLinkAboutPermit Electrical 1995-11-13
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SPRINGFIELD
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The.lollowlng project as submitted has the followln
zoning, and d083 not require specific land use g
approval.
Zoninp 0( f) f2-
225 FIFTH STREET II _ Q c-
SPRINGFIELD, OREGON 97477 Dot....LC./ 3--c->
INSPECTION REQUEST: 726-~rtzedSlgnatur. /J/J
OFFICE: 726-3759 ~~
3. COMPLETE FEE SCHEDULE
1. LOCATrON OF INSTALLATION
:J..31~ R~~('-r.,
LEGAL DESCRIPTIO~ .
J?t<?~ 27 2.2 z.~~
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JOB DESCRIPTION
inn 1Il1YY\~~!\.niIlO ,(1 hn
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
ELECTRICAL PERMIT APPLICATION
City Job Number
9S/'.?2~
BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Electrical ContractorJ2j.,q P ~llTnllld~JYll!-.
, I'
Address 9,0. M I4-Z{J....>
,
Cit~~filiL Phone l1~b- :1-20B
Supervisor License Number 1/....9. t,., S
Expiration Date /0 - I -q <0
Constr Contr. Number O}3'Zt+Q
Expiration Date q - I - q b
Signature of Supervising Electrician
/2~o ~
......... ~ /; D.
Ovners Name-Wi>f{\[\I) t Kothl) ~
AddreSS~ll'\\U\ e:B~
Ci ty ~ ,'m (\ ~PhO~ '11J.. b - tiQ.3
OIINER INS~ALLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Owners Signature:
----------------:j'--------------------
DATE: /I//~
RECEIPT #: > j, -"7/ //_.
nUf"t;-Tupn 'RV _ - ~ /,,,,-r ""'"
I terns Cos t
Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00 50,00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconne)i t Only $ 40.00
t..es] ~~r~'t /JJ<I&i) 76 "\'~.....~
Temporary Services or Feeders~CiV~~Z).90;>
Installa~ion, Alteration or Relocation
C.
200 amps' 'or less $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 vol ts see "B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t 'J...
$ 35.00
S 2.00 4,00
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
37. Administrative Fee
TOTAL
$
$
$
S
~oo-
-;'/.., 'lQ .
-I. 0:L
~\l,1I1:-:Jo
40.00
40.00
20.00
36.00
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