HomeMy WebLinkAboutPermit Electrical 1994-6-29
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225 FIFTH STREET Oale~-?!l-f'/.
SPRINGFIELD, OREGON 9A6t~rI:ed Slgnlllure /I fl\
INSPECTION REQUEST:' 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
,dIJ/I La.ura.
LEGAL DESCRIFTION
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02.3lT'D
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started Ylthin 180 days
of issuance or if'york is suspended for
180 days.
3.
ELECTRICAL PERMIT APPLICATION
City Job Number 9-7'tJ9c., 'l'.
COMPLETE FEE SCHEDULE BELOII ..
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
A. '
It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contrac'tor,Sonitrol Security or Relocation:
I,
1-
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Address P_O. Box 21009
Ci ty_ Euuene
Phone 461-5678
Supervisor License Number /'7j'{).TL E
Expiration Date /1J-/-tJl/?
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Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
Jl1bj., /VI ~/'(]/M'f) ,
Oyners Name Spr'-'Y{;-eld 1i1~/i(e M5.f:...
Address~yy,,,
City
Phone~-3~;:)J
O\INER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------------------~-- ~:;r-------
DATE: rL:> /2-l 'J"q-
RECEIPT 1I: / -/;{ &? j
RECEIVED BY: ..,//~-
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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 "Bit above .
D.
Branch Circuits
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installatlon
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm --L-- $ 36.00 ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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