HomeMy WebLinkAboutPermit Electrical 1995-2-16
The following project as su m. e "a
zoning. and'does not require specific land use
approval.
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Authorized SignaturejJ M
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LEGAL DESCRIPTION
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Permi ts are non-transfe'rable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL
Electrical Contrac 0
Address ~~ ~'n.lo<F)~ QQ.. .
City ~_ Phone 'M. t\~
supervi~or\iicense Number ~'I '1 S.
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Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
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Owners ~ ~
Addressc{1J() rJwJmJ!J)1;l-
Cit~~ne
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
City Job Number
ELECTRICAL PERMIT APPLICATION
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
~
:l
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
Cost Sum
$ 85.00 110
$ 15.00 3D
$ 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 Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting,
Limited Energy/Res
Limited Energy/Comm
DAT~~---~~-r~-~L(C;-------~-~------, 5. ;~B~~~~; ~~r~~~~~e
RECEIPT #: ~ '.-.: ~ /LY<83%Adm,inistrative Fee
RECEIVED BY: (.IV). -C-~ ~, TOTAL'" ,.
. ." ~ '
$ 40.00
$ 55.00
$ 80.00
see "B" above
$ 2.00
not included)
40.00
40.00
20.00
$
$
$
$ 36.00
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