HomeMy WebLinkAboutPermit Electrical 1995-7-13
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The following project as submitted has the following
zoning, and does not requIre specifiC land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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726-3/b'J
Authonzed SIgnature f\J "'"
, 3.
ELECTRICAL PERMIT APPLICATION
City Job Number, ?' 5o~7CJ
COMPLETE FEE SCHEDULE BELOY
/ 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I LJ ~ ~/ ~ Installation, Alterations
Electrical cont~actor~/~;1~ ~f~~ or Relocation:
Address_!J?,C)!(1 /5~np.J/' !PI I 200 amps or less $ 50.00
/J '--lh / () rfff!- 201 amps to 400 amps $ 60.00
City(jt1--;r.u-J~, hone.lO'1~~ 401 amps to 600 amps $100.00
r;y 601 amps to 1000 amps $130.00
Supervisor License NUmbe~L}L1~ Over 1000 amps/volts $300.00
:z:; 1~~ Reconnect Only $ 40.00
Expiration Date//r1 /(J (ffl?>
, irJ() - _c;:f-'7 C. Temporary Services or Feeders
Constr Contr. Nu er oL -;1~u) ~ Installation, Alteration or Relocation
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Expiration Date / I~~_~ 200 amps' 'or less $ 40.00
& 201 amps to 400 amps $ 55.00
Signa:ze Of~ spe~i . g ,ectrician Over 401 to 600 amps $ 80.00
\, /, Over 600 amps or 1000 volts see "B" above
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Ci ty 5~'j). Phone 7~-5"::2 y,/
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
/702- ) '9 '7 2- 602-'0 I
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.
Address
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE' . -- -;..;;. ~ .-, _/"":2 .,...; c::-
. 'li~,Ii _- -/ ~;;7 -,,~J _
RECEIPT #: /g?Jl?/
RECEIVED BY:' ~ ·
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A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less "....- $ 85.00 /?:>. ~
Each additional 500
sq. ft or portion '/
thereof $ 15.00 _Y~ t>-
Each Manuf'd Home or
Modular Dwelling , ,
Service or Feeder $ 40.00 : ~i:
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D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
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
3% Administrative Fee
TOTAL
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