HomeMy WebLinkAboutPermit Electrical 1995-8-7
. I
The following project as submitted has the following
zonin~~, an,':~ (l.:;S'9 not requiro speciiic If Hid use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
L. D 1Z--
Zonino
9;i~k69'l</7 --15
, Authorized Signature.
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3.
1. LOCATION OF INATALLATIO~ ,
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LEGAL DESCRIPT~N
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 1BO days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
4,vB1.J :GL!2d.Cb
3.2Z2 5/';
Address J.2 ~ V1J
Ci ty M#])J2Ac:;
Phone
.Lj7C-:J..J}'l
/,,:)<::!:>~ &r
Supervisor License Number
Expiration Date /0 -/ ~ 5',S-
Constr Conte Number d::>$ :?~S-
Expiration Date
7~LJ-qC
Signature of
.(1~L~
Supervising Electrician
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D.
Ovners Name -1I~l>A..u Ed ,~C',
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Address
Phone~J.J -,&,9~
.{)\lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------------------B=,r-. -------
DATE: .' I'~
RECEIPT D: ~_LL-'" -" J<:<'f,.l\4-
RECEIVED BY: (/\~'~
ELECTRICAL PERMIT APPLICATION
City Job Number
Ch7J7r?7
COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00 ~
Each additional 500
sq. ft or portion t 'btJ. /
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
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 $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circui ts
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
S 2,00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
lI~on
r-. .'1 f1
~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL