HomeMy WebLinkAboutPermit Electrical 1995-5-3 (2)
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SPRINGFIELD
The, fol/owing project es submltt.d hoo the fol/owin
.lonmg. ana dvEHl not roquifEl cpecific. land use
225 FIFTH STREET appro'/a/. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning t (!/
INSPECTION REQUEST: 726-;3769_J_/J-t
OFFICE: 726-3759 c~,? ..::J :.J 7 J
~,uli1oriz.d Signatura 0/kJOMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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)9B DES~PTION
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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
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Electrical Contractor '-'.
Address 'P.O. ~X 1+[lb'2..
City -sPFDPhone74/- 22.~{'p
Supervisor License Number /~ 8:<0 S
Expiration Date /19/ 1/ qf
, C.
Cons tr Con tr. Number ~ 'B>.gl "1
Expiration Date ~J'/J'~~
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Signature of Supervising Electrician
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Owners Name ~""'~"5"~""'~~C "~
Address -?"-P dIE.. # ~ ~
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Ci ty -!J.P~ Phone? O/.6-1E<TS>r
01lNER 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 1I: /7?'?y.'
RECEIVED BY: ,..".--:: ___~ -
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City Job Number
"7~,:5 '/S
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
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 ttB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcui t ...--- $ 35. 00 :;;~
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 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 Energy/Comm $ 36.00
5. "'::)'"').-
SUBTOTAL OF ABOVE 7 "
5% State Surcharge --- /.~ ~
3% Administrative Fee / . / /
TOTAL :..:-{q .9~