HomeMy WebLinkAboutPermit Electrical 1995-10-17
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SPRINGFIELD
n~f~ fC'li!:;:'Yliilg p:oiect as sub
2 '"1::10, ~nd does' not requl mtttad has the folloWi
r-pprC'.af. fa SPectflc land Use
Zoning L D f2-
225 FIFTH STREET Dete (0.... I 7 ~q __
SPRINGFIELD, OREGON 97477 ' I
INSPECTION REQUEST: 7261<:fmedSlgnature Ai fV\
OFFICE: 726-3759
1. LOCATION OF INSTALLATIOf
' J 7/-0 4/4 7AAw) !I~.
LEGAL DESCRIPTION
)7/J '4 27 .'< / /:)10/ t:rY?
JOB DESCRIPTION
""j,j= --f~.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor1mj PlllrlttL ~
Address P.O. W ~z...
City~ Clbf- Phonetffl".~1
Supervisor License Number .~~~~,
Expiration Date lo-q.;-
Constr Contr. Number 2.D.- i'6?(""
Expiration Date_ to -~6
Signaturc1)f ~pe~Electrician
/ T~~
--- , ,'. _ .//. D.
Owners Name 1f7t>'3/ ~ ~ (l7/Q;?H;f.//jt--
Address
City Phone 7~/-/7~?
OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
tor sale, lease or rent.
Ovners Signature:
D~TE~------------ITJ-~l~-~(1::;--~---- 5.
RECEIPT 11: ' ----;- -\ ~
RRr.F.TVRO flY: ~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9, S- //01
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
t..---- $ 85.00 ~5co
$ 15.00
$ 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
Installa.tion, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80~00
Over 600 amps or 100u volts see "B" above
Branch Circui ts
.'
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not. included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admi,nistrative Fee
TOTAL
$
$
$
$
55CJ-C
4-,~:>
z..rr
a/.~v
40.00
40.00
20.00
36.00