HomeMy WebLinkAboutPermit Electrical 1995-8-29
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SPR_FIELD
The. fO,lIowing project as submitted has the following
lonlng, and qoes,.AQt ~uire specific land uso
approval. L,.....VIl-.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonlno
9747;l NM
726'~;,~
Authorized Signature
1. LOCATION OF INSTALLATION
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ELECTRICAL PERMIT APPLICATION
City Job Number 9505tb/
j. l.UMl'w,rr; l'!;t. SCHEDULE BELO\l
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
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. JOB DESCRIPTION -
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
o
Elec trical Con tl!ac tor ...c..t.'~ P~fU1\ ';'{)f1Jf!."
Address P.D, ~ IJi?;L
Cit~oOd \ Phone~1.?.31o
Supervisor License Number .J.t" ~/., S
Expiration Date IO-I-q~
Constr Contr. Number o.<(~4q
Expiration Date
q -I-CJ.~
Signature of Supervising Electrician
/1!,~/'L07~
Ovners Name~~ (ilo, n
Address 11,.,04- ~Cl;~d
CitY~i\1mt~A) PhoneM~-("'51 L
OVNER IN ALLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Ovners Signature:
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DATE: CJ, /2 J' '7 r-
RECEIPT #: ( /e-.;<. (5 /l' .
nUf"'uTU"'t"n nv. - - /P ~
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular "Dvelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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'1;'. .
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C.
Temporary Services or Feeders
Installa1ion, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80:00
see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or vith Service.
or Feeder Permi t :?
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 4
not- included)
40.00
40.00
20.00
36.00
$
$
$
$
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