HomeMy WebLinkAboutPermit Electrical 1995-8-1
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The. following project as submitted has the following
zoning, nnd does not require specific land' '56
apprc.l/al. 0..1
Zoning
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JOB DESCRIPTION . . .
lJ..:'l! ~ ) r Co , t 'I\fll nlIU 1 (\ l r\.J (1 [rt1 ditimww
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 B.
Electrical contractor~S PO~.
Address P, 0, ile--t. 14- -g"J-> .
Cit~~f~A, Phone '1tfl-~"'1k
Supervisor Lqcense Number 1105lb.<\
Expiration Date 10- 1- q.''',
Constr Contr. Number 03'21/9
Expiration Date q -1-q5
Signature of Supervising Electrician
/2 ~ (/- 7b//Ld/
~ers Name~J\j~R~~
Address /3(,,0 P~.Qfl~ -ut.
CitYJt1t\lm~:otJ.J Phone qrt411
O\INER IN TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~~~~:-:~--~-f-~~q~-~~~~(~--
RECEIVED BY: C7'J ~ / .
ELECTRICAL PERMIT APPLICATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular.Dwelling
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
ct5 \ 'll.o5
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circui ts
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 72~~~ City Job Number
OFFICE: 726-3759 ~J~
, Authoriz<>d Signature_N'vi . ';:OIlPJ 1''1'1' 1'1<F. SCHEDULE BELOII
1. LOCATI,QN,., OF INSTALLATION
i 3b(.., fJ, l.lo CHI l\rn.~,,);-. A. New Residential-Single or
~ Multi-Family per dwelling unit.
\~ ld..~N t)\oOOU Service Included: Items Cost
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 ~O
$ 2.00 ~.DD
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline LightinV
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.11.00
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