HomeMy WebLinkAboutPermit Electrical 1995-7-30
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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,
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~/.y'-:Z.2
3. COMPLETE FEE SCHEDULE BELOI/
A.
Ney Residential..Single or
Multi-Family per dyelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Hodular'Dyelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
,f/'}.,? ~ J . C Installation, Alterations
Electrical contractoJt1dfd)';u-<.nr..k,.n{M~r; Relocation:
Address ~ lb. s:;; 5'{;2nl {7 ,200 amps or less -- $ 50.00
~. 201 amps to 400 amps $ 60.00
CityS.vu. _ Phone 7</7 ::Z/?8~ 401 amps to. 600 amps $100.00
I ;;. 7"" '7 t$ I 7"7' 601 amps to 1000 amps $130.00
Supervisor License Number '~'1 ~ 5- .s-- Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Expiration Date lo-<lS-
Constr Contr. Number 770~~.
Expiration Date IGl- <71'
Signature of Supervising Electrician
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Ololners Namefi.-.s.~/E'"" ~,-~-
Address -:2/hC:> .pe 4 -?~ .
Ci ty. -?~~7/ Phone -;?'Y'?-:'5/::>r
OI/NER INSTALLATION
The installation is being made on
property I oYn Iolhich is not intended
for sale, lease or rent.
OYTIers Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Ney, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit /
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
.3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 ;;;?~
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
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