HomeMy WebLinkAboutPermit Electrical 1995-3-30
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225 FIFTH STREET D~9 3-:- 8o-S~/ .--..'-----
SPRINGFIELD, OREGOM 974/1 ,.
INSPECTION REQUEST :l.lth(;jt2~"':"~~Qril tJ M
OFFICE: 726-3759 .
'L LOCATION OF INSThLLA'rI9N rnF"/J/1 /E_.
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'"7 JOB DESCRIPTION
"
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for.
180 days.
ELECTRICAL PERMIT
City Job Number
"_...~
3. COMPLETE FEE SCHEDULE BELOV
APc\~~15
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
"lr9-:..Jft."/ r ' ' Installation, .Alterations
Electrical' co~tract~I.rj1k.At t;~ W~ or Relocation: '
Address 5/1. ~ 5~1J!:!~. ,200 amps or less
(""'. \, " 201 amps to 400 amps
Ci ty j,~ . Phone7f1 Pt>5cf 401 amps to 600 amps
I tl' 601 amps to / 1000 amps
Supervisor License Number 'S"7 35'S Over 1000 amps/volts
, r- Reconnect Only
Expiration Date /0 -'?',1
Constr Contr. Number
770 j'tt)
C.
/.(J-~7C.
Expiration Date /tf--. 7'~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less S 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
Signature of Supervising,Electrician
~A---'~
~' ,II! J ~~.,. //7 'ft, rj" ~-=_ Branch Circui ts
Owners Name&{~ //.r~~~~~
Address ,,~\O\O >q~ cAC&zr' ~ ~ctw, Alteration
City ~T ~Phone 14h'd~3 ~~~hC~~~~;{Oh~l .
, CIrCUIt or WI~h SerVIce
OVNER I TALLATION, or Feeder Permit
The installation is being made on
property I own vhi~his not Jntended
for sale, lease or rent.
Owners Signature:
~A~~~---------!----~'~----~--
RECEIPT #: 1~:l~!ji:j L/c.2iuD
RF.f:F.TVF.D wry
"
or Extension Per Panel (f)
/ $ 35.00 SS.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
,.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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