HomeMy WebLinkAboutPermit Electrical 1995-5-10
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The followfng project as suo m e -~ . . -'. " ,
zoning, end does not require specIfic ltilnal.l$s
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
,OFFICE: 726-3759
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Zonin9 / .
Date& /D- ~)
9A{,t~~rized Signature
726-3769
1. LOCATION OF INSTALLATION
s7<3 2. C~/4
LEGAL DESCRIPTION ~
/.7~2- .'?"5 ~ 7" ZJIWJJ
JOB DESCRIPTION
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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
Electrical Contractor
:Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~C.c ~ J~L!~ L
Address ~7*72 ~e--a/A
. # '
Phone ~~ - 2?:f I
City
~ ".PA
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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------t7Z--------- -~--------
DATE: 5 \'(). ~
RECEIPT #: dii f". tl leU
RECEIVED BY: )w ~ -
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ELECTRICAL PERMIT APPLICATION
City Job Number 95"02-9 '5'
3. COMPLETE FEE SCHEDULE BELOV
A.
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
B. Services or Feeders
Installation, Alterations
or Relocation:
It ems Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps or less ~ $ 50.00 SO~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to/100Q amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
200 amp~.oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
,.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with. Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2 . 00 j 2,(0
,.
no t included)
$
$
$
$
C92~
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40.00
40.00
20.00
36.00