HomeMy WebLinkAboutPermit Electrical 1995-6-15
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225 FIFTH STREET approval. jl Ii /
SPRINGFIELD, OREGON 97477 Zonin" l./U
INSPECTION REQUEST: 726-3769 ("_/"./
OFFICE: 726-3759 D~le 1".,-' ) -,)
Authorized Signature
1. LOCATION OF INSTALLATION
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ES+ A SI\lG
,
Address \2.\0 DAl(.f'A\(~ ~d
Ci ty 'rl 16:{" () e,
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Supervisor License
Phone
Expiration Date
Number 6i1q (o'-f qZ~1")
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Constr Contr. Number q~nq2
Expiration Date
'2 - 1- '7<""
Signature lf Supervising Electrician
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Owners Name Cbn E.l ~ i oi-\-
Address 9 t:> (bD'I-.
Ci ty I7ALL CREE.I{
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Phone ~31- '2'1:i1
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE~--~~--\~-~~~~--------------
RECEIPT *: \ \ \ 1'"'\ .:-,
RECEIVED BY: rl ~" J .
V\ L '"
City Job Number
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tJl fv\. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
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
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
40l amps to 600 amps
601 amps to lOOO amps
Over 1000 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 "Bll 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
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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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