HomeMy WebLinkAboutPermit Electrical 1995-9-13
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The. following project .s submitted has the following
zoning, and does not require specific land use
approval.
Zonina L.- Oa.-
974.D:b~~~\C\ < .
72IiUt~~nZed Signature N M
225 FIFTH STREET
'SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION O~ INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if "'ork is not started' ",i thin 180 days
of issuance or if ",ork is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Cont~actor
Address
City
Phone
Supervisor License Number
Expiration Date
'Constr Contr. Number
Expiration Date
'Signature of Supervising Electrician
'O",ners Name Do U:r d (\,1 (", Tr h eu- ,,'
Address '1,,':2. Co Lq K,".dN e~. L/)
.
Ci ty.C;!?,.,; f\,lr1..c~~Phone 72& '7& 'WI
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OVNER INSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
, tO~_:I1' lease or rent.
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RECEIPT #: . /7VVV;' ->
RECEIVED BY: ht ~
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ELECTRICAL PERMIT APPLICATION
City Job Number 9S/~$..1
COMPLETE FEE SCHEDULE BE LOll ~
Ne", Residential-Single or
Multi-Family per d"'elling unit.
Service Included:
I terns Cas t Sum
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'D",elling
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
$ 85.00
'.
$ \;5.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C_ Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less S 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80:00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Ne"" Alteration or Extension Per Panel
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. .
One Circuit /___ S 35.00
Each Additional
Circuit or ",ith Service
or Feeder Permit $ 2.00
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)
.1
,
,
S 40.00
$ 40.00
$ 20.00
$ 36.00
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