HomeMy WebLinkAboutPermit Electrical 1994-7-18
225 FIPTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. WSl.ATI.!W OF J;I\~ALLATION
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Perm1ts are non-transferable and exp1re
1f york 1S not started w1th1n 180 days
of 1ssuance or 1f york 1S suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
C1 ty Job Number 941 r1 ~ 3
3. COMPLETE FEE SCHEDULE BELOY
A. New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng un1t
Serv1ce Included'
It ems
1000 sq ft or less
Each add1t1onal 500
sq. ft or port1on
thereof
Each Manuf'd Home or
Modular Dwell1ng
Serv1ce or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Serv1ces or Feeders
Installat1on, Alterat10ns
Electrical Contractor LI+,.; T"L ELECT<?'fC.:r,vC. or Relocatlon:
Address 3tn1a2&, CEDA'2.. HILLS
Clty PLEA~A"'T ftl LL Phone_ 72..(,,- 0105"1
SuperVlsor L1cense Number 3'i "12... S
Exp1rat1on Date
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Cons t r Con tr. Number 'X' '-{ '" -7 Cj
Expuatlon Date 7 -/ '-(- q~
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Signature of Supervising Electr1c1an
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Owners Name
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Address
C1ty Phone
OVNER INSTALLATION
The 1nstallat1on 1S be1ng made on
property I own Wh1Ch 1S not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
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200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85 00
$ 15 00
$ 40.00
$ 50 00 .s~ 0'-
$ 60 00
$100.00
$130,00
$300 00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installat1on, Alterat10n or Relocat1on
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL 3~ ~".c),
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch C1rcu1ts
$ 40.00
$ 55 00
$ 80.00
see "BlI above
New, Alteration or Extens10n Per Panel
One C,rcu1t $ 35 00
Each Add, tlonal
C,rcu,t or w1th Serv1ce
or Feeder Perm1 t L $ 2,00 '-l ~
E. M1scellaneous (Serv1ce/feeder not 1ncluded)
-Each 1nstallat1on
Pump or 1rr1gat1on $ 40 00
Slgn/Outl1ne L1ght1ng $ 40,00
L1m1ted Energy/Res $ 20.00
L1m1ted Energy/Comm $ 36.00
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