HomeMy WebLinkAboutPermit Electrical 1995-2-23
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225 FIFTIl STREET Zonin9 L{Vl r
SPRINGFIELD, OREGON 97477 ')., ? q~
INSPECTION REQUEST: 726r:.3'j6~ /_~ q- .::>
OFFICE: 726-3759 Authorizcd~nature /J'rIA.
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1. LOCAT,I..Orj, OF INSfALUnON- J Q' \
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LEGAL DESCRIPTION
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Permits are non-transferable and expire
if york is not started 'vi thin 180 days
of issuance or if,vork is suspenaed for
180 days.
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2.-' CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor 4tfJ&r-~G
AddL'ess rt?D ~ 2f5T1I 5;:{.
Ci ty 5Pe-,Jf;f7atJ Phone 74-1~22B
Supervisor License Number Q 4 '3 ~ S
IO-} -9S:
Expi ra t ion Da te
Constr Contr. Number -2)C)-~~
Expiration Date
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IO-I-CjS
upervising Electrician
'I.Jtv:,' "
IoIners Name W'~~c.~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I Ololn IoIhich is not intended
for sale. lease or rent.
,
Ovners Signature:
DATE:
RECEI i;'f ii:
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~~6> '30
COHP~TB-rEE SCHEDULE BELOY
Nelol Residential-Single or
Multi-Family per dlolelling 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 DloIelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, 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
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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 volts
$ 40.00,
$ 55.00' ,-
$ 80.00
see "B" above
D.
Branch Circuits
Nelol, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
$
I $ 36.00
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40.00
40.00
20.00
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTALI