HomeMy WebLinkAboutPermit Electrical 1994-9-23
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zoning, and docs not require Gpecific land use
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225 FIFTH STREET Zoning '-'Df,,-
SPRINGFIELD, OREGON 97477 Dot. 4~)-:V-'1<-1
INSPECrrON REQUEST:, 726-376r ,. ,
OFFICE: 726-3759 AC1horizw Signaturo
ELECl'RICAL PERMIT APPLICATION
IJ. fV"" Ci ty Job Number Cj.t./D'/Q;) ~
3. COMPLETE FEE SCHEDULE BELOII '*
A. New Residential~Single or
Multi-Family per dwelling unit.
Service Included: -
1. LOCATION OF INSTALLATIO~
4 7 ~ L.lk--'ir?rtl-f''1 fA/)
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LEGAL DESCRIFTION
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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. CONTRACfOR INSTALLATION ONLY
Electrical Contractor
Address
/
/
City
Phone
License Numbe~
Date ./
Supervisor
Expiration
,
Constr Contr, Number
Ex'piration Date
Signature of Supervising Electrician
Owners Name 9-e~ :t="V..Q~\OH'.r?_
Address 4, X- La....(l47M.PA~ Lp
City Sy+d Phone :qt/fD4.b41
01lNER INSTALLATION
The installation is'being made on
property I own which is not intended
fo: sale: ~~~
Own ~~: ~
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-------------,7--~------ -------------
DATE: 9/? <? '
RECEIPT II: '1 /~f? <7 /
RECEIVED BY: ff~~
Items
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. 'Dwelling
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$,80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 KDO
L.---'
2.00
~&-o
~ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20,00
$ 36,00
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