HomeMy WebLinkAboutPermit Electrical 1995-6-5
225 FIFTH STREET
SPRINGFIELD, OREGON.
INSPECTION REQUEST:
. OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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97477
726-3769
LEGAL' DESCRIPTION
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~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 ONLYB.
Electrical contractor~~I!ii(,~
Address
City
Phone
Supervisor License Number
Expiration Date
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ELECTRICAL PERMIT APPLICATION
City Job Number 9'5Y6B<y
COMP~TE FEE SCHE~ULE BELO~
3.
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
Services or Feeders
Installation, Alterations
or Relocation:
200. amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ .15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary S~rvices or Feeders
Installation, Alterati6n or Relocation
Constr Contr. Number
Expiration-Date
Signature.of Supervis~ng Electrician
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Owners Name ~A".YL/~_~e=-~
Address 1';(4II'SC~~""~7~ ~~.
Ci ty ??A.~p;;i. Phone?X....~~
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OVNER INSTALLATION
The installation is' being made on E.
property I own which is not intended
for sale, lease or rent.
O~(il:--
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DATE:
RECEIPT #:
RECEIVED BY:
200 amps"OT less ~ $ 40.00 _YL?
201 amps to 400 i3-mps' $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B'~' a!Jove
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included )
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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