HomeMy WebLinkAboutPermit Electrical 1994-7-7
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225 FIFTH STREET Zoning LD/Z;
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 726le!}7E;Q I ~7 'f 1'0 City Job Number ?~.t7i!:rB 0
OFFICE: 726-3759 AUlhOri.oo Signature J-J -r^-- __
J. LuMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
'2./~~ ?~_ #22. 3 _
LEGAL DESCRIPTION
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JOB DESCR,!.PTION AJ, .u __
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~
Address
City
Phone
Supervisor License Number
Expiration Date
.
SPRINGFIELD
ELECTRICAL PERMIT APPLICATION
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni t.
1000 sq.ft. or less
Each additional 5QO
sq, ft.or portion
thereof
Each Manuf'd Home or
Modular Dvelling
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
Items
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
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Ovners Name,~;",'A~~A"
Address 7:2!!!!; At:. ~:...... _ ~r~
Ci t~~r~Phone ~:::t!:".yo/y",?
OIINER INST2r.A'.&~ I
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners~ure: ~"7
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RECEIPT 11: /2:::!:t ~ '
RECEIVED BY: /?y~ c.-_
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2,00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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