HomeMy WebLinkAboutPermit Electrical 1995-11-13
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726-3769. ~.. ""'rotur. ;n <.,1 ty Job Number
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3. COMPLETE FEE SCHEDULE
225' FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF IN;?TALLATIO~ }" J1
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LEGAL DESCRIPTION I
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JOB DES~TIO~/./ '
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ELECTRICAL PERMIT APPLICATION
05/ &q (
BELOI/
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~gi~~~~
. ,
Address~) I;..JI- /,p1f2 fl.
Ci ty ~J /D~L/J Phone /ll/ / .)-6 b.5
Supervisor /C~nse Number "3 MIS'
Expiration Date /0 h / q f5
I /
Cons t r Con t r.Number f-7 A-;);? _
Expiration Date )//Ob/C)~
1 I
Signa~u./. e f SU2~Sing Electrician
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Ovners Name~\t.J~\ 'R\C.."Tt-t-
Address K'4D fJ - A. :')1l'2F-B1
Ci ty ~t2-
Phone 7Lf(p - /(4of
01lNER INSTALLATION
The installation is being made on E.
property I ovn whi~h is not intended
for sale, lease or rent.
Ovners Signature:
'-~A~E~-rr~-r.r::'-zrs-~----------------
RECEIPT ~O/95&7 / .!L..,l!-- . .
1000 sq.Et. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
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
Items Cost
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
Nev, Alteration or Extension Per Panel
One Circuit 1
Each Additional
Circuit or vith Service
or Feeder Permit .~
$ 35.00
~<,J
$ 2.00
e-
[;
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
.3% Administrative Fee
40.00
40.00
20.00
36.00
$
$
$
$
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