HomeMy WebLinkAboutPermit Electrical 1995-7-10
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225 FIITH STREET ~ppro~a\, fJ ,l / ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 V'-' q<') L..J
INSPECTION REQUEST: 726-~69.i'''';'7- ----- Ci ty Job Number .J' t - 1/
OFFICE: 726-3759 D",/~lY_~_'12-- I I
N Mil. COMPIJ:TE_FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION"a SIgnatUre_
d;:). '<.., IJ. A S-J. A.
l--J U:GAk gESCIRPTION 'J '
LIDj 6J .sZ- naUOU
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
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Permits are non-transferable a~ expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t ro I SeclJ r i ty or Relocation:
\
Address P.O. Box 21009
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Phone 461-5678
City Euuene
Supervisor License Number /t'o29 r<ET
Expiration Date ID- / - qfn
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 6-28-96
Signature of Supervising Electrician
-Id F~ '
Branch Circuits
D.
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O~ners Name IA)~
New, Alteration or Extension Per Panel
Address Sa Yn-P
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
Ci ty Phone.2!i/ -;70<=?.3.
OVNER INSTALLATION
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Eneigy/Comm / $ 36.00 :5b'~
5. SUBTOTAL OF ABOVE 3 i, O'V
5% State Surcharge I ~
3% Administrative Fee ( Olj-
TOTAL :~g ~~
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
DAT~~--~~::'-~2S-----------------
RECEIPT-lI: UIK ;::'U'5
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RECEIVED BY: n.. ~ h~O -----