HomeMy WebLinkAboutPermit Electrical 1995-5-9
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The. following project ae submitted hus the t<;:'." '-J
ZOning, and does not r&qulre specific land U.,.
epproval.
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225 FIFTH STREET . ~onina
SPRINGFIELD, OREGON 97477 Date "er-'1-'i),
INSPECTION REQUEST: 726-3769 i
OFFICE: 726-3759 .' Authorizad Signature
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ELECTRICAL PERMIT APPLICATION \
City Job Number 9#~/C: \
1. ~CATION OF, :J)lS:r~LATION_
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if work is suspended for
180 days.
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Phone
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Expiration Date
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C. Temporary Services or Feeders
:Jt'5(.vi-C Installation, Alteration or Relocation
Constr Contr. Number 77r.l-:J?
Expiration Date /{I-. "/1
Signature of Supervising Electrician
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{6~ners Name J:ZV//ll' ~)YUuJ
Address
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less L- $ 85.00 'il5,-
Each additional 500
sq. ft or portion 3D ~
the reo f .2:- $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Chcui ts
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. . ,/. .> . . t i Installati~n, Alterations
Electnca1 contracto~/;~..t ffff,',(;;'~/);;:r...:' or Relocatlon:
Address j /( ~) .j;I/, '" [;,- . 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
$ 40.00
$ 55.00
$ 80.00
volts see "Bit above
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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.
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RECEIPT #: /77-P.7~ 3% Administrative Fee
RECEIVED BY: /~ TOTAL
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$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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