HomeMy WebLinkAboutPermit Electrical 1995-3-30
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'5'503 726 3689
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225 FIFtH STRBBT Z i LV fJ... ~LEC'I'RICAL PERHIT APPLICATION
SPRINGFIELD, ORE,GON 97477 .onnp r /' ~ AA/iA
INSPECTION REQUEST: 726-3169 .~- ~[I)--c.t") City Job.NWllbe.r ~LJlI
OFFICE: 726-3759 i-luthor::.:ed.Signature. tJ V'tv .-
~ - emu: .r..t.li!. ~ SCHEDULE BELOV
1. LOCATION OF INSTALLATION
f/ 3~c)_4 AJ.D./.iEJI( ~ L.-4LY j:
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\ t'ff~~}~~ON r"f)t rJ0
JOB DESCRIPTION
IIIISTl/LL 819SE BQA-~D IIEATE'!E'#=-Sl6r
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Permits are non-transferable and expire
if work is not started.'vithin 180 days
of issuance or if. work is suspen~ed for
1BO days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorLR. .BAABJl,q~ l:::r~,
Address 1::.8' /AJfZ~r J~'I $-r~E2r
Ci tySiJIlJNG-FIEl-D
Phone 7'-/7.- b6 31(
. Super,vis9r License Number li1'1 S
Expi~ation Date )t:) /; Ir$'
Constr Conn-. Number 6gb 99
Expiration Date /.;;..//P /f'S-
Si~ OfSU77;;r
0':.;. Z~.fLE NOM
Address <?!l.L) AAJD$A'.50N LAN~
Ci tY5f1A' )AI~FJEt-D Phone 7~(P-S:.t)4.:2.
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or tent.
,
Owners Signature:
~. ~ .~------
DA~;;------~----7-- [2;~~,~
RE. CEIPT #: ~/n.._jf\ tu.P\). - ,I r~
RECEIVED .BY: \_, I \L.Jr~1\\oD
A.
New Residential-Single or .
Multi-Family per dvelling unit.
Service Included: .
It ems Cos t
Sum
1000 sq.ft_ or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'dHome or ~
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders.
Installation, ~lterations
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
c_
$ 50.00 .I
$ 60.00
$100.00
$130.00 .
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
Branch Circuits
D.
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
.1 L $ 35. 00 ~5(){)
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation .
Pump or i~~igation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited EnergY/Comm $ 36.00
5. SUBTOTAL OF ABOVE
57. State Surcharge
3% Administrative Fee
TOTAL
-:
""~<; 00
1.15"
1,05
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