HomeMy WebLinkAboutPermit Electrical 1995-11-22
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225 FIFTH STREET 1 ~ -d~-15' ELECTRICAL PERMIT APPLICATI~
SPRINGFIELD, OREGON 97477 Oal8 - ~/).--n nC:::\l
INSPECTION REQUEST: 726-3769 --:edSI9ne1Ur9~. uty Job Number '--1.J
OFFICE: 726-3759 Au\hO'~ .
3. COMPIJ:TE FEE SCHEDULE BELOY. ~
1. LOCATION OF INSTALLATION
13'8' l/I164.t AJ A. New Residential-Single or
Multi-Family per dwelling unlt.
Service Included:
Items Cos t Sum
LEG,4L QIDiCJ.q;PTIOli.../It=/""/l
\..,r\~2,:.:.t.,'L ( ..J\"''-LL.I
JOB DESCRIPTION
ft 001 on OIJltL .pee fOr<. fe~
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
Electrical Contractor. g-~\ e.B:.
Address p, 0.. 00l< 1""6
Ci ty ~xme. q7,\ 3\ Phone 7 'tt -fo~7
Supervisor License Number 1-\-09'-\ - 5
Expiration Date 10 -l- 9 <:6
Constr Contr, Number Qb2-2...:b
Expiration Date ?,- \L\--90
Signature of Supervising Electrician
~u::R~,
owners~f 1-: Qi(!J1cis
Address 1"6K' mnl f\
City ~Phone /4797/0
O\INERII~A~LA~ION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~---------7---i~:~~-~----
RECEIPT if: . _.A )\:1\ -l ! /'
RECEIVED BY: ~-:- .V\\lNN"
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof ,
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 85.00
$ 15.00
$ 40,00
$ 50,00 So
$ 60,00
$100,00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80,00
volts see "B'~ atlOve
.'
New, 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 with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2,00
not included)
$ 40,00
S 40,00
$ 20,00
S 36,00
CfJ~
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