HomeMy WebLinkAboutPermit Electrical 1994-9-23
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SPRINGFIELD
The. following project as submitted has the following
zO/llng, and does not require specific land use
approval.
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ELECTRICAL PERIlIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST::
OFFICE: 726-3759
97477 Zoni~o MDfl_
0Mlr3769L1-Z2,-~''-1.
Authorized Signature IJ M 3.
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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~OB DES~ON
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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 ~~
Electrical Contractor -O;;:::~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~ ~~~ D.
Address9~?;> ~ h_~ ~ ~
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Ci ty ~a>~. Phone ~ ~ .?&> ~
01lNER ~s?2~ .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: <;'1'2~-'S if
RECEIPT 11:. /C/K'??
RECEIVED BY: ~,.,-....
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City Job Number "9 t,I"//~c:::::>
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
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
Reconnect Only
uni t.
It ems
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or.Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Branch Circuits
-$ 40.00 YO
$ 55.00
$ 80.00
volts see "B" above
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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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