HomeMy WebLinkAboutPermit Electrical 1995-12-4
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The fo\lo,,'Ving project as Bllbi'nrUad ....a~ tho fclicwing
zoning. end doe3 not requiro spec,lfIe lend use
approvel
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225 FIFTH STREET Del~..l::> -4 "i S
SPRINGFIELD, OREGON 97'I>Unortzod Signature r> 0
INSPECTION REQUEST: 726-3769 f \
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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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 Lire: ~0
Addre~s I/J,o, 60X 1/ / 3q
Phone 7'-'1 -OCIL/j
:3 S'S.3S
/0/90
, Ci ty (::;u~
Supervisor License Number
Expiration Date
Constr Contr. Number 5Q1ct:t
Expiration Date
5!qb
Signature of Supervising Electrician
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Owners Name~ ~\\.l.o~ _ L ~
Address l l, I - '- '
City
Phone
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D~TE~~--------------lr;l-~~~-----
RECEIFT II: I 0 ~l~ !a--:~
RECEIVED B'y,:~). ./ ~
ELECTRICAL PERMIT APPLICATION
City Job Number, q ;')\0,5\
COHPLETE FEE SCHEDULE BELOV -1C
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
3.
A.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Hodular, '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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 o'
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
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$ 35.00 ;/
One Circuit
Each Addi tional
Circuit or with service(
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
~~
. .
not included)
. ,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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