HomeMy WebLinkAboutPermit Electrical 1995-8-21
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Thelollowing projecl as submitted has the lollowln
zoning, and does not require specifiC land use
approval. 'Ii T>i11 .-/
ZOning--1r'VVV"'" ELECTRICAL PERMIT AgPLICATION
9~~~~~:~a~~ ~ City Job NUlDb~r;_ 9SQ1'1l.'
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, ,OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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A. Ne~ Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~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 contracto;j?~~~L)
Address/2bO L/h- #<?r ,
, / ;
City ~c'<J~ Phone?c;/'?~S-
I
Supervisor License
Expiration Date
Number 7'0/</ /~,,- _ .
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bk
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Constr Contr, Number 4//c/YJ
Expiration Date
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Signature of Supervising~trician
~..-? ____ S
. Owners 'Name /'7/,L"J' ~~~<!--/
Address / L( L/ ~ t;' I t, ~t-1^.l!dI
City~.AA.L- Phone 34J57'1b7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Sigriature:
---------------------~~- --------------
DATE: q; <zJ --VI
RECEIPT 11: , r:>< I\n.l ' '
RECEIVED BY: . I ~
Sum
I terns Cos t
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
,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
Reconnec t ' Only
$ 85,00
$ 15,00
$ 40,00
0"
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
0"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40,00
$ 40,00
$ 20,00
$ 36.00
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