HomeMy WebLinkAboutPermit Electrical 1995-5-18
The following project fiS submitted ha~ the loll'
i.r.'ning, and does not requlrei specific land use
approval.
225 FIFTH STREET Zonina IYl DL
SPRINGFIELD, OREGON 97477 5-16- ~
INSPECTION REQUEST: 726-3'7~9 ~.L
OFFICE: 726-3759 Authorized Signature
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1. LOCATION OF INSTALLATION
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/.-, LEGAL DESCRIPT);ON
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job NumberL150 (p & S
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::S. (;uKt'L1H~ l'"~~ SCHEDULE BELOll'
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor. Son it ro I SeclJ r i ty or Relocation:
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Address P.O. Box 21009
City Euuene Phone 461-5678
Supervisor License Number ~~J7()~~
Expiration Date J()- 1- q?,
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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Ovners Name /(,' If' l J /J~ lhS(l!.f
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Address &mp
Ci ty Phone _~1#7 -M4l
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
------~~--g-- ------------------
DATE: '--..Y / - y"::::.
RECEIPT #:01,4'" .
RECEIVED BY: k}t'J->{..I, J
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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 volts
$ 40.00
$ 55.00
$ 80.00
see "8" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ----1- $ 20.00 dbOZl
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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