HomeMy WebLinkAboutPermit Electrical 1995-5-30
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225 FIFTH STREET Zonll' L D/7 ELECTRICAL PERMIT APPLICATION {
SPRINGFIELD, OREGON 9747,? 1__ C:::.- q~rv4'"
INSPECTION REQUEST: 726"':3769- C1ty Job Number ~\1!
OFFICE:
726-3759
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1. LOCATION OF INSTALLATION
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Perm1ts are non-traftsferable and expire
if work 1S not started w1thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~/lr+RJ~
Address 1~~.l1":\>;9 ~+
Ci ty N\-.c\R.r\c,
Phone 475-.;)1 '?-,Ii
SuperVlsor License Number I f)f)(,,_~
Expira tlon Date
IQ-I-C;<
Constr Contr. Number
I~R1Lf-C:
Expiration Date
q-"i-q!';'
,
..
Signature of Supervising Electrician
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Ollners Nam~ \ Ir\Q~r\ PlIh,
Address~ s~3?1\rl ~
Clty ~ ~ ~. Phone V"f\4 . (61ldo
OVNER ~T~LLATION
The installation 1S be1ng made on
property I olin Ilh1Ch 1S not 1ntended
for sale, lease or rent.
Owners Signature:
~~~~~------------------~~~~-
RECEIPT #: (:\ .-"'\_ /\1
RECEIVED BY: \..j! I~_ ) \~ \ -:-- n /J
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COHPLETE FEE SCHEDULE BELOV
A.
Nell Res1dential-S1ng1e or
Mult1-Famlly per dllell1ng un1t.
SerVlce Included:
Items
1000 sq.ft. or less
Each add1t1onal 500
sq. ft or portlon
thereof
Each Manuf'd Home or
Modular DIlell1ng
Service or Feeder
-1-
~
Cost Sum
$ 85.00 Pf5
$ 15.00 j{)
$ 40.00
B. SerV1ces or Feeders
Installat1on, Alterations
or Reloca tlon:
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 Serv1ces or Feeders
Installat1on, Alteration or Relocat1on
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circu1ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nell, Alteratlon or Extenslon Per Panel
One C,rcult
Each Add1 tlonal
CIrcuIt or WIth SerVIce
or Feeder Perm1t
E.
M1scellaneous (Servlce/feeder
-Each 1nstallatlon
Pump or 1rr1gatlon
Slgn/Outllne Llghting
Llm1ted Energy/Res
Llmlted Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surc~~rge
~ 3"1[)
$ 35 00
$ 2.00
not lncluded)
$
$
$
$ 36.00
1/5 cO
; L~'A.'"
,'1 ,c-r,,,"
I~ aD
40,00
40.00
20.00