HomeMy WebLinkAboutPermit Electrical 1994-9-23
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225 FIFTH STREET, ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning 1Y1 fie-
INSPECTION REQUEST: 7~8la3769 1-7 I.: "1% '
OFFICE: 726-3759 Auth '
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1. LOCAT~ON OF INSTALLATION
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LEGAL DESCRIFTION
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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 contrac'tor~~~~~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name' ?~<::~.?-,2?'::::-.&LP,_;,-.;s- D,
Address 1J5&7<~ &~, lJ6.c.~ .
,City?~-! ~ne y~ ~6<
OIlNER INST~TION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
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----------------/ ------------------
DATE: ~~ ':::2 '3-"7 'f'
RECEIPT #: /~ 'T?
RECEIVED BY: ~_--.
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SPRINGFIELD
City Job Number '9.;/0"9"/
COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items
Sum
Cost
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
$ 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 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"
Yc
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40,00
$ 40,00
'$.20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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