HomeMy WebLinkAboutPermit Electrical 1995-7-25
The followln9 J '
Zoning and dPro ect as submitted has t
approv~1 ce. not requira SPecill I h. folloWing
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Zoning_ L..-D t2..-
9747~)- 'i--C- -
72 6I~1\9d Signature /II fVI.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF .1NSTj.LLATION
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LEGAL DESCRIPTION
J~ 0.2. 6'5 2..4
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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 Contpactor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
,/ Owners Name~Au~~ ;f(jllu 1<-
Address
J77~
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Phone 9s:s-(P 7103
Ci ty Ev-'fF- NF-
O\INER INSTALLATION
(The installation is being made on
property I own which is not intended
tor sale, lease or rent.
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~ATE~----------~~~;ts7~-~--------~
RECEIPT #: ' '( '> $!:>' '1' / '
RECEIVED BY: //~. _ '
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number <9 ~D.s-~ ~ -4
3. COMPUTE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included,
Items 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
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
V $ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5" t).""
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or vith Service
or Feeder Permit ~
$ 35.00
$ 2 . 00 /-fJ.!::"
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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