HomeMy WebLinkAboutPermit Electrical 1995-6-13
, bmitted has the fo\\oW!l
The foilowing pro1ectt a~qS~ir~ specific land use
zoning. and does no r
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Zoning_VO
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7 2 6_:1~~9rized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. \f)~JO~O~nALl\fa.qf
rftf)!J~PTION \\~
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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. '
ELECTRICAL PERMIT APPLICATION
City Job Number q'5{)S~
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3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
,Service Included:
Items
uni t.
Cost Sum
$ 85.00 95
$ 15.00 4s
$ 40.00
1000 sq~ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
,
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2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
, I' ;04 ., J ,(' Installation, Alterations
Electrical ContractojtU/lC~2-U./<. rf.J(/naJ~:r; Relocation: '
Address ~ /6. s:; j-:J.nl [7 . 200 amps or less ,
_ ; _ lfi ' 201 amps to 400 amps
Ci ty)~~ Phone 7<(7 1...pg $I 401 amps to 600 amps
I'tf' 7<f7 6/ 7Cf 601 amps to' 1000 amps
Supervisor License Number 3 7 5 :5- ~ Over 1000 amps/volts
Reconnect Only
Expiration Date /0-95
Constr Contr. Number7;70~~~
Expira tion Date /tJ- 9-5
Signature of Supervising Electrician
;PdJ~-i/J '
Owners NameN\{M f du::o.-J\.l}O-
L '
Address 1 ~~ '^ q~
Ci ty 8:J.kLal ;hone 1i-l~-U l \
ovml tlSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent. '
Owners Signature:
-----------------~---~---------------
DATE: ~//.s/)J"
RECEIPT #: ( 1/7r,'~.
RECEIVED BY: . ~ .~
- ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
v-- $ 40.00 ffl_~
$ 55.00 ..
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State, Surcharge
3% Administrative Fee
TOTAL S
$ 35.00
$ 2.00
not included)
E. , Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm '
One Circ,tii t
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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