HomeMy WebLinkAboutPermit Electrical 1994-7-19
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
.Dale '7/I'f-c,~
97471 ,
72/W11ib16lll Signature
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l. LOCATION OF INSTALLATION
~1J./tJ 8.. fL.),' A.
~GAL DESCRIPTION \, (:mS42.
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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,
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2. CONTRACTOR INSTALLATION ONLY B.
Elec t ri cal Con t rac t~\...06l~~>iJ?.,}..,..,.,.. eJtc-h- fL.
Address ('JfD~~ i .,yCU ~
Ci ty :J'1A....JIl>""- C(~ Phone ~-3''''2...
Supervisor License Number d'l4~
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Constr Contr. Number <=l~~~
h.QS
Expiration Date
City
one
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-- -~-----:~-~--~---~----
"Oil"'" ,j, 125 - \j~:
ELECTRICAL PERMIT APPLICATION
~'~y Job Number q 11 tJ ?'.I
3. COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$40.00
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 lOOO amps/volts
Reconnect Only
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t c..--- $ 35.00 35ft""
Each Additional
Circuit or with ServiceJ
or Feeder Permi t a- $ 2.00 f/J,<!)Q
I
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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40.00
40.00
20.00
36.00