HomeMy WebLinkAboutPermit Electrical 1995-12-26
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, \'2 -2"' I _ _ qr' ELECTRICAL PERMIT APPLI~"I,Q.N ~
97477 De.,;~ - ;:J.Q.:::..:/ " L-
726-JJ,C;~ri,"'Signatur.---..o-f ea, Jub Number q \.j
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.3. COMPLETE'PEE SCHEDULE BELOV
225 FIFTH STREET I
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: '726-3759.
1. LOCATION OF INSTALLATION
J;;. J5" A~ pPi\l . S-; t26~"-,. A..
LEGAL DESCRIPTION 'l1 03"E 1Cf1C29..D
t,('l\-rfAv'\'\C\\ tf'e:MF./\:~~,~'f 5~L"O\,'
JOB DE;;CRIPTION
. L i ~ i +e cI tAJe('~" ,::-....srA J( AT i 0 \\I
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Permits are non-transferable and expire
if work is not starte~ within' 180 days
of issuance or if work is suspended for
180 days.
New Residential-Single or
Multi-Fa~ily per dwelling unit. ?
Service Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,D. Services or Feeders /
In&tallation, Alterations
Eiec trica;l Con traCtor ])ttrA 1"l-c h COM~IJN;l.\Tl/)OS or Relocat ion:
Address J'1DO NE'l(g TI4 AveNue
City' #i/(SbOKO Phone(503) 69s-{,'S'tCJ
Supervisor' License Number 2"0e., -:ILE
J()/O' /9k
.
Cons t.r Con tr. Number. ,'I J 'if' 8'
Expiration Date L\.. '2C\ .qLp
Expiration Date
Signature of Supervising Electrician.
i~ ~ ~-k
, D.
OJ-'n~rs Name 'SpP3 N~F ,cld Publii SC.~OoJ5,
Address SL.5'" M; 1 r S, ~ reI
Ci ty Srf'~r\CJ8r/d Phone "/2 t~ 32.L.<j
OVNER INSTALLATION
"
The installation is being made on
prope~tyI own whi~hfs not intended
for sale, lease or rent.
Owners Signature:
~ATE~------~Pk~P.k\O-~-=~-----------
RECEIPT #: (J.. [f'.,- 'L-\(K~ ,
RECEIVED BY: u \LU \.-)
:,
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
'Reconnec t Only
$ 50.00 ,.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installationj Alteration or Relocation
200 amps"oT ,less .
201 amps to 400 amps
Over 401 to'600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "S",above
,
t'
,.
New, Alteratioh or Extension Per Panel
One Circuit
Each Additional
,CircUit or with Service
or Feeder Permit
$ 35.00
,.
$ 2.00
'. .
E. Miscellaneous (Service/feeder not includ.ed)
--Each installation ' . ,
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm -1- U$ 36.00 3bJlQ
5., SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
1(".00
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