HomeMy WebLinkAboutPermit Electrical 1995-11-22
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The following project "" submltled has tho foil
zoning, and does not require specific land use
, approval. A n
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225 FIFTH STREET ' '. I "':'ci S '
SPRINGFIELD, OREGON 97477 Dote!, - ;:;)-.-c .
INSPECTION REQUEST: 726-3A(iI/,ortzedSlgnature ~
OFFICE: 726-3759 ' I
3. COMPIJ:TE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor 5\~C) e..ec,
Address' .(',0, fboj. I ,\--'6 . 11<\H,o'11
City ('BKT-e(t. Phone Cf~7''3'72.
Supervisor License Number c-\-lR4- <:;
10-\ -9g
1 h 2..2.0
2.-\tt-qb
Expiration Date
Constr Contr. Number
Expiration Date
:i~~~ng Electrician
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Ovne~s Name IMfLU'f\ 'tC\l-Ot,y~'melL
Address i-\~O(o (A-LW\I~
Ci ty Cffi'yU) Phone
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
,
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RECEIPTli: 'v\,' l C'.l.LJ ~
RECEIVED BY: CJ\~ -lleV.---7
ELECTRICAL PERMIT APPLICATION I _
r.; ty lnh Number q ro I~Q,LV
Items
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
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
C.
$ 85,00
$ 15,00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
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
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
volts see "B~ a~ove
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit t
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 ~~.-.
$ 2.00
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
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