HomeMy WebLinkAboutPermit Electrical 1995-3-3
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SPR.~LD ....,i...,..._"
, ~ "ted h~' the followin
The following project 8S GU,vmu .... d
zoning, and doe:) not requIre specifiC tan use
approval. ,--..0
225 FIFTH STREET Zon:n~ '::J..;t./
SPRINGFIELD, OREGON 9747?.. ,\.-'l,.;'i",.
INSPECTION REQUEST: 726~37t;, nJM"
OFFICE: 726-3759 Aulhorlz<>dSignalu",~
3.
('1. LOCATION OF INST~LATIqN
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~ LEGAL DESCRIPTION
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JOB DESCRIPTION
t. 'bl~Y'(N7Jf/{1 /;;?t{7P"L [=1'f- R. V.
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
.(
Signature of Supervising Electrician
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent, :
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DATE: '< /'~ '5' S-
RECEIPT #: -, //...,<,/ /
RECEIVED BY: - .ff/:~?v?
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number,
'1S-02$D
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit. ...J ~
costN,
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
'B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I.-- $ 50.00 s-"8,.l.I-.e
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation. Alteration or Relocation
" .
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see ItB" above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
$ 35.00
E.
One Circuit
Each Additional
~;r~~~~e~r P~;~~t~el'ViC'-r-;.-~:.~O-~~ )
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Miscellaneous (Servici,f/ fe'edecnocincluded)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
5'e;,-
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J. ~."
4::-z<.1-
.
40.00
40.00
20.00
36.00
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