HomeMy WebLinkAboutPermit Electrical 1995-10-13
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning
974 ?Qate
726,1\'~~.liged Signeture
1. LOCATION OF INSTALLATION
7b'5 N, A '9iR~E:T
LEGAL DESCRIPTION
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
Address
City
Phone
Supervisor License Number ~/)7~ S
Expiration Date 10-/-113
I
I Cons t r Con t r. Number ^' /A
I Expiration Date Iv/.,A
,
: Signature of Supervising Electrician
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,
,
i Owners Name (";(/",,.,.,,.,1 ",,fIt" c:?...l::: OI57'RffT
i Address h f?/l 1\). 3t. T1f
I -
i Ci ty SF'", t.Y.~I;:.t^ Phone...1Zt;-o/-,?~
I
I OYNER 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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1---------------------------------------
: DATE: .,{d'6<J /<7r
,RECEIPTli: ' /'7'..L rri-;z.-
I RECEIVED BY: ~// ji:..(
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3.
ELECTRICAL PERIlIT APPLICATION
City Job Number ',s7'~S2......
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Sum
Cost
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
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 liB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit 3
-P'
$ 35.00 %.00
$
Ii' .
2.00 b,DO
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
$
$
$
$ 36.00
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2-'{J5
1,23
~4<t.2R
40.00
40.00
20.00