HomeMy WebLinkAboutPermit Electrical 1995-12-13
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7Z6;H-\3,iI.t&J SIgnature -O-:{J
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION O~NSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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ELLCTRICAL PERMIT APPLICATION
COHPLLTE FEE SCHEDULC BELOY
C1ty Job Number ~;:>:>
A. New ResIdentIal-S1ngle or
MultI-FamIly per dwellIng unIt.
Serv1ce Included.
PermIts are non-transferable and exp1Le
if york IS not started w,th,n 180 days
of 1ssuance 01 1f work 1S suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
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Phone ~cr~~
SuperVIsor License Number ;R #- .
ExpiratIon Date
Constr Contr. Number ~~~~
Expiratlon Date 7-2q~
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Address
CIty Phone
OVNLR INSTALLATION
"
The Installat10n 1S be1ng made on
propeLty I own Wh1Ch 1S not 1ntended
for sale, lease OL rent
Owners Slgnature:
---------------------------------------
DATE: ./:J. ,~~
RECEIPT II: /'~!!f./t:51
RECEIVED BY: . / #A6 ~_" ,
Sum
Items Cost
1000 sq ft. OL less
Cach addItional 500
sq ft or portIon
thereof
Cach Manuf'd Home or
Modular Dwell1ng
Serv1ce or Feeder
SerV1ces or Feeders
Installat1on, AlteratIons
or RelocatIon.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40 00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Serv1ces or Feeders
InstallatIon, AlteratIon or RelocatIon
200 amps 'or less <---- $ 40.00 S/".::?~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch C,rcu,ts
New, AlteratIon or Extens10n Per Panel
One C,rcu,t
Cach Add, tlona1
C,rcu,t or W1th SerVIce
or FeedeL PermIt
$ 35.00
$ 2.00
C. M1scellaneous (ServIce/feeder not Included)
-Each ws talla tlon ' ,
Pump or irr1gatIon $ 40.00
Slgn/Out11ne LIghtIng $ 40.00
L1mited Energy/Res $ 20.00
L,m,ted Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVC
5% State Surcharge
3% AdmInIstratIve Fee
TOTAL
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