HomeMy WebLinkAboutPermit Electrical 1995-10-3
The f~l1owlng projoct EtS submh'1ed OOs the f~iloVlh
zon!:lg. end doos not roqulre Gpoctflc land una
approval.
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97477Dota 70/:3/0
729-~~R2r1ZodSlgnatura ~
l
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF IN~'];{iLLATION ....-..._
':3"3. lla ~15vn.+- ~ Wno:h t JR.- A.
LEGAL DESCRIPTION v "1\ ~I .../,
L-ct- 8b , () () /..A-i~ I C7\. 11 ltU..J
JOB DESCRIPTION
.N S"FK
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
//bJ'T..LJ :GL&d-.co
. '
3~ 5/'7'
Add ress / .2
...,-vU
Ci ty .h.#})R~<; Phone.LJ "7 \- - :J..) } 'J
Supervisor Li cense Number / <f) <:!:>~ s:::
Expi ra t ion Da te /0 - / ~ '7, ~
Constr Contr. Number d::>?i 7~0
Expiration Date '7 ~ l/ -9 \-
Signature of Supervising Electrician
t2.e';g.,d _0~~?"p ,,'L.__ D.
Oyners Name ,.v ~ !>A,u Fd ,::::r Vc:-,
Address 'r'ff -So 5:.2d~t
City <:'o~L""J) Phone '.tJiJ-.d.9~
... I ~
OVNER INSTALLATION
The installation is being made on
property I oyn Yhich is not intended
for sale, lease or rent.
Oyners Signature:
~~~~~------------;---1J)-~~t1t:5-----
RECEIPT #: 1"4-:-. \a.l"":1rJl
RECEIVED BY: r IJ I.t..')[ ^---.-l TII I
ELECTRICAL PERMIT APPLICATION
qqrN g'
Ci ty Job Number
COMPLETE FEE SCHEDULE BELOY
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less \
Each additional 500
sq. ft or portion 11,
thereof ~
Each Manuf'd Home, or
Modular, 'Dyelling
Service or Feeder
$.85.00 -B5
$ 15.00' W
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIB" above
Branch Circuits
"
Ney, Alteration or Extension Per Panel
I
..I
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
S 36.00
l\CS 90
:o::..'/~
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL