HomeMy WebLinkAboutPermit Electrical 1995-7-27
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The, following project as submitted has the following
zOning; _lnd does not require s~ific land use
approval.
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9 7t4J~:z,rized Signature N M
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started ",ithin 180 days
of issuance or if ",ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contl:actor l>f/~'\ vt1fvt.I/).;v,,^-
Addre~s <?t,<-t5 ~v~~ W
Ci ty ~/f2o{ Phone ~ ?iJ7.0 I
Supervisor License Number
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Expiration Date
Constr Contr. Number, b ~~ 2-
Expiration Date VZ){{q7
. Si~ ~upe~iSing Electrician
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O",ners Name ~. h~~<:,
Address Z-OZ> 0rL€..S+Vl/Lf5'vt:f"
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OVNER INSTALLATION
The installation is being made on
property I o",n ",hich is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #: I - L /<;::::Lf l((
RECEIVED BY: ~' J
ELECTRICAL PERMIT APPLICATION
~~y Job Number q CJ) ~ 3~
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, 3. COMPLETE FEE SCHEDULE BELO'll
A.
Ne", Residential-Single or
Multi-Family per ,d",elling 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
$ 85.00
$ 15.00
$ 40.00
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
In~tallation, Alteration or Relocation
20q amps' 'or less I $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
CircOit or ",ith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Eac~"installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not' included)
5.
-$
$
$
$
L60:, CJo
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1.2-6
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40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL