HomeMy WebLinkAboutPermit Electrical 1995-5-18
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SPRINGFIELD . I . I . ,
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225 FIFTH STREET Date ,S--l" ~-)
SPRINGFIELD, OREGON 97477 \J~
INSPECTION REQUEST:. 726-:Y1~90rized Signature
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Ci4--,JQb Number 9'5""~~
1. LOCAT;{ON OF INSTALLATION
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LEGAL: DESCRIPTION
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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. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor--.C.~.~ P~.o.[I~, l~
Address P ,0. furl. I~g').... I'
1
Ci ty~. Phone '141-~~.16-
Supervisor LIcense Number ~.~
Expiration Date
10-1-<\5
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Constr Contr. Number
I
Expiration Date
Signature of Supervising Electrician
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'owne;s Name..jt\.i rf\.Q ) ~ho 1\ i:
Address.J",150 ~I lJU\.,jr", :It:A~
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OIINER IN~~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 'S'"-/R~~
RECEIPT 1:--'-7 Z~
RECEIVED BY:..L......_ _ _ _ ,-
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3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
Sum
Items Cost
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 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
$ 40.00
$ 55.00
$ 80.00
see "8" above
New, Alteration or Extension Per Panel
"
/ One circuit $ 35.00 .qS-.OO
Each Addi tional
Circ~it or wi th Service
or Feeder Permit $ 2.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular'Dwelling
Service or Feeder
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
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
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.'
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