HomeMy WebLinkAboutPermit Electrical 1994-12-22
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 CIty Job Number ~~~ ~~~
OFFICE 726-3759
1. LOCATION OF I~STALLATION
3b5'Q eno~~,
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
~f Issuance or If work IS suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY
Electncal Contractor-43f!~ont~ll\ \~1m.
Address p. 0 M ,4- g 'J-.
,
Clt~i\.l'~t;IO~ Phone '741-1-.1.31:0
SuperVIsor LIcense Number lie &b S
ExplratlOn Date
IO-I-Q5
Constr Contr Number 0:1i2.4Q
Expaatlon Date q-l-qS
SIgnature of SupervISIng ElectrIcIan
(/}.~~dC;-~41-'
O~;s. Name ---J.h ~ 4 lXLJ
Address 3 b 5q C ru~ )
Clty~~fllid 1 Phone 1:J..b-D5'53
OVNER INSTALLATION
The InstallatIon IS beIng made on
property I own WhICh IS not Intended
for sale, lease or rent.
Owners SIgnature
---------------------------------------
DATE: 12 -:?,,<""Ty
RECEIPT : 1~2~
RECEIVED BY: .....-z~~__ ~
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3. 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
B. SerVIces or Feeders
InstallatIon, AlteratIons
or RelocatIon
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
$ 40 00
$ 55.00
$ 80 00
volts see liB" above
D.
Branch CIrcuIts
New, AlteratIon or ExtensIon Per Panel
One Cacul t
Each AddItIonal
CIrcuIt or WIth SerVIce
or Feeder PermIt
$ 35 00 .'15,00
$ 2.00 ~
E. MIscellaneous (ServIce/feeder not Included)
-Each InstallatIon
Pump or IrrIgatIon $ 40 00
SIgn/OutlIne Llghtlng----- $ 40.00
LImIted Energy/Res $ 20 00
LImIted Energy/Comm $ 36 00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% AdmInIstratIve Fee
TOTAL
"fl'1.00
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