HomeMy WebLinkAboutPermit Electrical 1995-9-14
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97477 ZOning
726-3768.'0 C) I ~5 Ci ty Jo~ Number
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Authorized Signa ~ . OHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
3-:2t'l i=O,'rv.-PuJ
225 FIFTH STREET
SPRINGFIELD, OREGON
,INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
~ ELECTRICAL PERKIT APPLICATION
A.
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
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, ,
uni t.
It ems
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor,Sonitrol Security or Relocation:
\
Address P.O. Box 21009
City Euuene
Phone 461-5678
Supervisor License Number /t,gc; Ref
Expiration Date /tJ-/- 9?,
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
Constr Contr. Number 65149
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 6-28-96
Signature of Supervising Electrician
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f) D.
O~ners Name l-lfadSfa"/:ftlF J...unp. Lo
Address .5::un1?
Ci ty Phone ;F-/7-;;J'fd5
OVNER INSTALLATION
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
S 40.00
S 55.00
$ 80.00
see "B" above
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------7---T~----------------
DATE: i. J~( 5'S
RECEIPT #: { /~~..,"Q
RECEIVED BY: / ,;,!7~ ~
. ~ ,1"... 1 - 1
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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