HomeMy WebLinkAboutPermit Electrical 1994-7-14
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225 FIFTH STREET Dete --; - I <.L-f q...
SPRINGFIELD,. OREGON 97'A7L~<, If.] .~
INSPECTION REQUEST: 726=-~",IQnature
OFFICE: 726-3759
1. LOCATION ,OF INSTAL~TION / .
~ 7 t'tP(/ .Jf?c/ #J ~t:t' 'Tdv-... A.
. LEGAL DES~~TION.I
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JOB DESCRIPTION (;) () .A JJ., '.
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor .~~.~cI:
Address ~?7-!C;-<2-t!.bAfR /tla/cr tf).
Cit~-..?....-J'" ' Phone &1-211 (
supervi~~ License Number ~~~-2--~
Expiration Date /d,---! -C;; ~
Constr Contr. Number /,4:J-&J:7'
Expiration Date 03'~ <::.(----7"5
Signature of Supervising Electrician
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Owners ,Name ~ffW ( (O/2t1u.j'r?'
Address 54~[? 14< ~ b
Ci ty ~ -:pM Phone ·
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
~ATE~---------:7/J-iji-;r9t--------------
RECEIPT =It: -{' I /2,,'7'105"
RECEIVED BY: AI7 /r~
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ELECTRICAL PERMIT APPLICATION
'City Job Number t?-f' ~d}L9
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3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
'i:<.'!!,','
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ftor portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Jnstallation, 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 "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Ci.rcui t or wi th ServiCf~
or Feeder Permi t I
I
$ 35.00 S~
$ 2.00 ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Cpmm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
:~/~
/ _ P;,.s
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"J 0 9c.
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40.00
40.00
20.00
36.00