HomeMy WebLinkAboutPermit Electrical 1995-4-6
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Tho following project as submitted has the following
1.or,ing. !:nd IJoe:;, nvt roquire specific land use
225 FIFTH STREET Appro',,!. p
SPRINGFIELD, OREGON 97477 Zoning L,O
INSPECTION REQUEST: 73~.37~_(, -q""--
OFFICE: 726-3759 tJ fv'. 3.
Authorized Signature
l. LOCATION OF INSTALLATION
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205 T:JoKA!/5 :5 r
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
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number ~()2~ ~
Expiration Date
(D-/-CfS
Constr Contr. Number ~J/~
Expiration Date
IV /1,
Signature of Supervising Electrician
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Owners Namec",;li.4.......1~...rr -pA"'K~72Irt' .
Address b 80 D, ~(.,-r:H
Ci ty SPR'r->C~/gl./">
Phone 71.t. - "1-31,0
OVNER INSTALLATION
The installation is being made on
property I own which is not intend~d
for sale, lease or rent.
OWners Signature:
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~ATE~--------~;;r~f7.1~---------------
RECEIPT II: :?~e-
RECEIVED BY: ~~
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q .!)'/2iz 9-,
COHPLETE FEE' SCnEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
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
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "Btl above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 3t..I>o
5. SUBTOTAL OF ABOVE .!:..::JJ,t"JD
5% State Surcharge ~.55
3% Administrative Fee 7.. ,~
TOTAL '7 l.../.. R