HomeMy WebLinkAboutPermit Electrical 1995-9-27
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. . LOCATION~LATIOJi/
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number q 5.~
COMPLETE FEE SCHEDULE BELOV
3.
A. New Residential~Single or
Multi-Family 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 B. Services or Feeders
4 ~. ~ 1_ }nstallation, Alterations
Electrical contractorp~ 't-",:' ~or Relocation:
Address /?o$'? g-~. ~~ 'l7r, 200 amps or less
11 _- ~ 201 amps to 400 amps
CitYDe~... Phone (,.t{t- o~1'1 401 amps to 600 amps
601 am~s to 1000 amps
S~rvisor License Number 6" )-dL€. Over 1000 amps/volts
Reconnect Only
Expiration Date /O"I-~(P
Cons tr Con tr. Number 4 Cf<{;J.... (
Expiration Date (0-1- ~~
Signature of SU'i~visin~ E~!rician
.;j/pL// cf./i=. . D.
Owners Namej/tw.".. ~ HLo- &~
Address,:)...O{7 1J~ ~
City~r~Phone ']'{(- :;"S''! I
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D~T~~---------------crC3l'l:~-~-----
RECEIPT #: ,--11 _ "l rO\ f:lJ.1
RECEIVED BY: bI)lL~ L-\\ J\
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
,.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation $
Sign/Outline Lighting $
Limi ted Energy/Res X $
Limited Energy/Comm $
~ .~
t
,
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One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$2.00
40.00
40.00
20.00
36.00
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