HomeMy WebLinkAboutPermit Electrical 1995-12-26
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225 FIFTH STREET ,.~Clte---l2_ _;;.~~~_ ELECTRIC~ P~ AF~, ' ~,TI~,
SPRINGFIELD, OREG0N,.Wllil!" '~ f-.J G ~ \1 ?1t
INSPECTION REQUEST: 72'6'=10f/<6,9re' Ci ty Job Number , ~ "'CJ \ _ l
'OFFICE: 726-3759 ~n ..
'~_3. COMPLETE' FEE SCHEDULE BELOV
1. LOCATI~ OF INSTALLATION ----,
32iP ~- CEIJTcNAJ,A: I "Rhrd' A. New Residential-Single or
, \~D~' ~'-~ Multi-Family per dwelling unit.
LEGAL DESCRIPT~ON\ \ )LJ~ ' Service Included:
H ^ ^"" \ r AJ M {veil F Sc.... ho.o l Items Cos t
JOB DE~CRIPTION 1000 sq. ft. or less $ 85.00
t. i M i +l' d elJef"'q" -:r: t.lsrA H ^T iON Each addi tional 500
" , ' vi sq. ft or portion
Permits are non-ytansferable and expire thereof
if work is not started within' 180 days Each Manuf'd Home. or
of issuance orlf work is suspended for Modular.'Dwelling
180 days. 0 Service or Feeder
,.
Sum'
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders .
Installation, Alterations
Electrica;l Contractorbl'\'fA Il-ch C-OMfI\U..,;'''TiOOSor Relocation:
$ 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
,Address }'IDO Nt" "" rtf AVENue
City Jlitlsb()~o Phonel503) 69s-(,'S't'l
Supervisor License Number 2,"0" -:JLE
Expiration Date 10 J 0' /9 t,
Const,r Contr. Number '1/ cg, f{
Expiration Date 4. 2-G\.C\ \.0
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Temporary Services or Feeders
Installation, Alteration or Relocation
C.
,
$ 40.00
$ 55.00
$ 80.00
see "-B",above
200 amps. .OT less '
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
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s~e O~iSin~~an.
. D.
O~ners Name S?R,'No,Ficld ?ohl.,'c Sc..~l)/5.
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Branch Circuits
..
New, Alteration or Extension Per Panel
Address-5L5"' M;' I S\~ce'T
Ci ty Srr',^~'::-idd Phone 72 l,..:. 32..f:.~
OVNER INSTALLATION
$ 35.00
One Circuit
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 --L-- $ 36.00 ~
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
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Owners Signature:
.3fs,.oo
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5. SUBTOTAL OF ABOVE
5% State Surcharge
37. Administrative Fee
TOTAL
~ATE~------lf~~~l-o-:C1~~------------
RECEIPT I: ;\ C\ ~'K ~
RECEIVED BY: (lliV~ - ,