HomeMy WebLinkAboutPermit Electrical 1994-3-17
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225 FIFTH STREET .y L-O _
SPRINGFIELD, OREGON 97477 Zonlng_
INSPECTION REQUEST: 726oJl69~ -104 City Job Number 941&'>3 y~
OFFICE: 726-3759 - fl' ~ -
Authorized Slgns\Urs_ j. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIFTION
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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.
ELECTRICAL PERMIT' APPLICATION
A.
New Residential-Single or
Multi~Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ ~ ~ ~Installation, Alterations
Electrical Contractor,p~ ,.< ~/'- ..s:- ..,-;,.,....-/"'.oy-"Relocation: _
Address/Z6/~ //./ 57~ r>=?~-" 200 amps or less
201 amps to 400 amps
City..c:-_ c_/'l Phone?c,./?~ S-S--~ 401 amps to 600 amps
~ 601 amps to 1000 amps
Supervisor License Number 7"5.;./~ ~'" ~ Over .1000 amps/volts
Reconnect Only
Expiration Date
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Cons tr Con tr. Number 7' C? ? 0 t'?
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Signature of Supervising Electrician
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~\ffiers Name"'(')'\ \C\ \1'(\ ~r, (\0
Address 1\\ ()~, \1\,1\ Yt-
Ci ty ~U'\. Phone
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OIINER I STALLATION
Expiration Date
------
The installation is being made on
property I own which is not intended
for sale, lease.or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
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Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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
Limited Energy/Comm $ 36.00 -------
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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