HomeMy WebLinkAboutPermit Electrical 1995-7-25
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, ,The following project as submitted has the following
zoning, and' does not require specific land use ,
approval. , tl.-.
Zoninp L-P
97477 :;1-25 -- c;:::5
726-3-R!9' '... ,
Authorized Slgnat~re "1"-1 "^
3. COMPLETE FEE SCHEDULE BELO'll
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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1"/ LEGAL DESCRIPTION
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, <. /J JOB DESCRIPTION I
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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.
CONTRACTOR INSTALLATION ONLY /
Elec ical Cont~actor ~
/
Address
City
~
Supervisor
ber
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Expiration
Electrici~
Expiration Date
S. / f S ..
19na~ure 0 uperv1s1ng
/
Owners NameK-ANDi(' 'M A})(N:C.a..
Address '222 /'-1
CitY~PFl--D
3;lIt ~l '
Phone ~ ") c-!.dY::::,:3
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
tor sale, lease or rent.
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DATE: - ,~/ Q
RECEIPT #: ULJ; ~''1'u ' ..
RECEIVED BY: ~~
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ELECTRICAL PERMIT APPLICATION
City Job Number qSQ DqS
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:
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
I terns Cos t
Sum
$ 85.00
$ 15.00
$ 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 $ 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
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
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not' included)
$
$
$
$
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40.0q
40.00
20.00
36.00
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