HomeMy WebLinkAboutPermit Electrical 1995-10-11
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SP_FIELD
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974~'o/'OrizOO Sll)n&ture. ~
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~ 1J!JTHt 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 connactor~t~ 8o..nn-t;11l,_~.
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Address P.O. iQd. , 4- 2~
a \j:.~~rL I
CitY~r\1~o-=-- Phone 14/-1::J..3fn
Supervisor License Number I/,.,9. (" 8
Expiration Date IQ -I-qb
Constr Contr. Number [)1\g4q
Expiration Date q -I-qfo
Signature of Supervising Electrician
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Owners Name ~OiY\J ~
Address~l~ ~ll~~
Ci t~ 0 ~ cl..Phone '14'1- gg 53
o~ INS~~LLATION
The installation is being made on
property I own which is not intended
~or sale, lease or rent.
Owners Signature:
---------------------------------------
-
DATE: - /p-r;?g
RECEIPT 11: /9 " . _ "
nUr"'t"TtTt'n p'y- . 'j~"""'~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9<.?"' /6" yc>
3.
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular "Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installa~ion, 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 "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00 .35'.00
$ 2.00 {J." on
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not'included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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