HomeMy WebLinkAboutPermit Electrical 1994-11-22
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225 FIFTH STREET Zonina J+ T
SPRINGFIELD, OREGON 97477
INSPECTION REQUESTPat'26 3769 /1-2..2: -'1y
OFFICE: 726-3759 Authorized Signature tJ Y1A
.
1. LOCATION OF }~TALLATION
, ~ 9~t7~~~_A/E,
LEGAL DESCRIPTION
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....JOB DESCRIPT~
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Permits ar€'non-transfera1lle and expire
if vork is not started 'vi thin 180 days
of issuance or if,vork is suspended for
180 days.
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~t~~~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
"
..
ELECTRICAL PERMIT APPLICATION
City Job Number
j,
COMP~TE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
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
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
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 volts
$ 40,00
$ 55.00
$ 80.00
see liB" above
) ~ D. Branch Circuits
Ovners Name I/~ c..-'~~AV'
~ '.. Nev, Alteration or Extension Per Panel
Address ~9C> ~A?~Y/V 4~""
or - - . . - ' . One Ci rcui t
Ci ty -'S",P~ Phone ?4"'/-1C>8B rEach Addi tional
. -. Circui t or vi th Service
or Feeder Permi t <~ $ 2. 00 ~.....
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Ovoers Signature:
()~~
~----------~--------------------------
DATE: a-<~. c;; c,r ,
RECF.II'T U: I ~s: ~
RECF.IVF.D BY: ........-~~ - _ .
'7
----
$ 35.00 ~-...
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
'Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~ ~
5% State Surcharge 'T .~.s"
3% Administrative Fee ~_ /'=,
TOTAL /e:>41. ~ Y