HomeMy WebLinkAboutPermit Electrical 1995-3-27
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Tho ;ol!owiilg p<ojed ae eubmltled has the following
zonil'lG. a:'\d dVee not r&quira specHte land use
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225 FIFTH STREET on~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 971,jJ7ih 3-1'7-L,{"
INSPECTION REQUEST: 726-3~~SIg_ tJ "^ City Job Number ~S'e:73~ /
OFFICE: 726-3759 Autl10r
1. LOCATION OF INSTALLATION
31~c:::..~\A~~, A.
I:EG.AL .DESs;rugJ'ION 1 O~/ l
eU;'I~(lJ( ....Y\'"'~ ~~
~ifj:2..-<!!>6-rr d7!,,?-:2.,<:Sf: - .
, OB DESCRIPT~N . 1;:' ' r fI ~ tl _
~' c:~~
Permit are ~ran i~~~d 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~~~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Oyners Name.A \ (~d'Y'. ~rk~x.
Address ~ 19'-" S' ru l.:l~.b ~
Ci ty s...-rt=\ J. OC Phone q 1 4- 74
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
a.r-~~
---------------------------------------
"J-:? ';>- ~?
'/;2~~
DATE:
RECEIPT 11:
Rp.r.F.TVRn ny:
3. COMPLETE FEE SCHEDULE BELO\l
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dyelling
Service or Feeder $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
.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/lOOO amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00'
volts see IIBI1 above
.'
Ney, Alteration or Extension Per Panel
~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
$ 35. 00 --1"~-
$ 2.00
~-
."
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 /. / -j
TOTAL V ~_/ 2.