HomeMy WebLinkAboutPermit Electrical 1995-12-13
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SPRINGFIELD
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e,9 eubrnj\\ed ~"nd u
'ol'owing l'r~e~~\ re<\uire .pee
225 Ut u). STREET ~,~i~~' ~nd doe ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 a??'o'", _____
INSPECTION REQUEST: 726-3769 zoning City Job Number <75" J~
OFFICE: 726-3759 , _____...--.:::-:::-: *, , ~
o'\a________e~..:_.~~TJS FEE SCHEDULE BELOV
1. LOCATIOl'l Qf INSWLA1ION/""~0r\~edSl9ns\U{
,'6)(53/i;7Dmorj(j" HI/e.'/>.\Jl A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
JOB DESCRIPTI..Qtl
inStall ,~N-/J~V
Permits are non-transferable and expire
if work is not s'tarted wi thin 180 days
of issuance or if work is suspended for
180 days.
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i trol SeCLJr i ty or Relocation:
,
Address P.O. Box 21009
City ELJuene
Phone 461,5678
Supervisor License Number
.J]~OS~
-"it,.
Expiration Date
10 -/
Constr Contr. Number 65149
Expiration Date 6-28-9,6
Signature of Supervising Electrician
(Y1 ,h L VVl ,/()^ ~
Owners Name Lv.JjjJ f ~a -L/t/e/:5I>fJ
(
Address , <YZme
City Phone.:z.un-(}3t8'
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------
DATE: /):{J;7?
RECEIPT ,: ~ ,
RECEIVED BY: /j.4<-~. ~.'"
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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
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
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
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res --L--
Limited Eneigy/Comm
5.
SUBTOTAL OF ABOVE
5%'State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
';;000
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