HomeMy WebLinkAboutPermit Electrical 1995-2-8
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION I
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LEGAL DESCRIPTION
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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.
3.
ELECTRICAL PERMIT APPLICATION
City Job Number ~7'/~bo
COMPLETE FEE SCHEDULE BELOY
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSonitroJ Security or Relocation:
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Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number l&;g9 R ET
Expiration Date j{)-/-90
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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Owners Name {1 <...('odp- AnilYY1/ th5lXla/ '
I
Address L~rne
Ci ty Phone1J//- /99;:2
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ::z--S~?
RECEIPT #: /~ -::Z3/?
RECEIVED BY: ~;:;-~
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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
Limi ted Energy /Comm J $ 36.00 30JOZ)
5. SUBTOTAL OF ABOVE ,-::srt?(J(J
5% State Surcharge /.80
3% Administrative Fee /.08
TOTAL t '? RJ tAR