HomeMy WebLinkAboutPermit Electrical 1994-12-9
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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1. .'LOCATION OF INSTALLATIQ!i...
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City Job Number
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOV
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A. New Residential-Single or
Multi-Family per dwelling ~it.
Service Included:
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J}lB DESCRIPTION
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Permi ts are non- transferable and expi're
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (:\ ~\'td I='J,rtf.&k."
Address I:::l. ~\U ~~ >"-\0.-.
C i t Y rI\ r-Av..s.
Phone ~C;-,JJ <.q_
Supervisor License Number _1~fY^ S
Expiration Date I D-I-ql/
Cons t r Con tr. Number I C1 '?--l4-~
Expiration Date Cl-L-.J-t15
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Owners NameI.lA~A/ zrA.77:' -L'~
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Address "l?'f'9 ? ~=12_~
Ci ty ~b,. Phone /L)~...,{" ~~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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REC,EIVED BY: ~. '(:Jjti~i...) -
Items Cost Sum
1000 sq.ft. or less \ ~ 85.00 fI;
Each additional 500
sq. ft or portion 1- ~
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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