HomeMy WebLinkAboutPermit Electrical 1994-8-16
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225 FIFTH STREET,
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE:. 726-37S9
,
The following project as submitted has the
z0nin~l. and does not require Gpecifjcl~nd,use . .
approval. ' ELECTRICAL PERMIT APPLICATION
97477 Zonin; LD/Z. t /?// / /,?
726-3769' City Job Number '~~/(~~
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3~/~0~'~TE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATIOrf'uthorIZad Signature
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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 suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
./
City
Supervisor
Expiration Date
Constr con~mber
Expiration Date
Signature of Supervising Electrician
.'
,
..
A.
New Residential-Single or
Multi-Family per dwelling unit.
Servite In~luded:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof' '
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders ,
Installation, Alterations
or Relocation:
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps or less I $ 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
E. . Miscellaneous (Service/feeder
-Each installation
Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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
Owners Name ~4 'Jl!... J7tw\1~u
( I New, .Alteration or Extension Per Panel
Ad d res s -L2./2. cae.; 72?JrrJ;V /"'-/:::l '
City ~p) Phone~7-/~
OVNER 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#:
RECEIVED BY:
One Circuit t--- $ 35.00 .} 5:<<:>
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 ~~
-
not -included)
$
$
$
$
+/.(R
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, ''-''.3
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40.00
40.00
20.00
36.00