HomeMy WebLinkAboutPermit Electrical 1995-11-29
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number ?5.tS32.
OFFICE: 726-3759
1. LOCATION OF INSTALLATION / /1
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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 f]A-fYolA/e,...~ Stc ,
Ci ty r;:; u-~ p,." . Phone ft:>8 6- 8'11/7 '
v
Supervisor License Number (g<;j-)Lr.
}..O/I/q.1
Constr Contr. Number 138'<}J
( ;) / qt,
Expiration Date
Expiration Date
,~~~)J ~f super~sift'JE~ectrician
;1L-.__ Y' 7~)J L -
. . ....-
Owners Name
City
Address
~7:f- 1(070
o
The installation is being made on
property I own which is not intended
for sale, lease or rent.
ow~e~L-
---~-----------------------------------
DATE: //-',2", '''75'"
RECEIPT #: /~~
RECEIVED BY: ---;:~_
'. .....
3. COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I,tems . Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
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 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
"
New, 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 V $ 36.00 ~
5. SUBTOTAL OF ABOVE ~. ~
5% State Surcharge /.~
3% Administrative Fee /. &8
TOTAL ::z~ ~