HomeMy WebLinkAboutPermit Electrical 1995-2-21
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225 FIFTH STREET ZOnlTlO
SPRINGFIELD, OREGON 97477 n.<rte 7/ '2-1 Aj6
INSPECTION REQUEST: 726-37b'1 .. I,
OFFICE. 726-3759 Authorized 9lg~ature
3.
1. LOCATION OF INSTALLATION
7 )1 X'"2 <' Al7;..Pnk"'.F>./!f; 22k
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JOB DESCRIPTION
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Permlts are non-transferable and explTe
1f work 1S not started wlth1n 180 days
of 1ssuance or 1f work IS suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY
Electncal Contractor A\\tw t]Ecf1:,IC-
Address I;:} 'Sl;j ~ Steu. r-
Cl ty JYYR6S Phone 14 1 5-J.1 j9
SuperVlsor Ll cense Number JO()(n ,,\
ExpHat10n Date 10-[-q.::;-
Constr Contr Number L9.'&'lL(.~
ExpHatlOn Date CJ-4-Q1
Slgnature of Supervlslng Electrlclan
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Owners Na~ oru. rlm f rl
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CIty phonef14-!cRlo(p
OVNER N~ALLATION
Address
The 1nstallat1on IS be1ng made on
property I own WhlCh IS not Intended
for sale, lease or rent
Owners Slgnature:
DATE~------------~~~-~--~
RECEIPT JI L- r ,,- I \ lj.;5,o' )_
REC,EIVED B~{,( J( 1\-/
ELECTRICAL PERMIT APPLICATION
Clty Job Number~~() ~
,
(\JIA
COMPLETE FEE SCHEDULE BELOV
A. New Res1dentlal-Slngle or
Mult1-Faml1y per dwell1ng ~n1t.
SerV1ce Included:
Items Cost Sum
1000 sq.ft or less { $ 85 00 ~
Each add1t1onal 500
sq. ft or port1on ~ 00
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
SerVlce or Feeder $ 40 00
B. Servlces or Feeders
Installat1on, Alteratlons
or Relocatlon:
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 Servlces or Feeders
Installat1on, Alteratlon or Relocat1on
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 Clrcults
New, Alteratlon or Extenslon Per Panel
One CHCUl t
Each Add 1 t lOnal
Clrcult or W1th SerV1ce
or Feeder Permlt
$ 35.00
$ 2 00
E.
Mlscellaneous (Serv1ce/feeder
-Each 1nstallatlon
Pump or 1rrlgatlon
Slgn/Outllne Llghtlng
Llmlted Energy/Res
Llm1ted Energy/Comm
40.00
40.00
20.00
not wcluded)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admlnlstratlve Fee
TOTAL
$
$
$
$ 36.00
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