HomeMy WebLinkAboutPermit Electrical 1995-3-22
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ELECTRICAL PERMIT APPLICATION
C\ ~06~Q \
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
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1. LOCATION OF INSTALLATION
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I~' .~qg.,J;>~SCRIPTION :::'\.
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A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Sum
Items Cost
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
JOB DESCRIPTION
in. "fa II , <; ~ o.!Liiy
Permits are non-transferable and expire
if vork is not started vi thin l80 days
of issuance or if vork is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.Sonitrol Security or Relocation:
\
Address P.O. Box 21009
$ 50.00
$ 60.00
$lOO.OO
$130.00
$300.00
$ 40.00
200 amps or less
20l amps to 400 amps
40l amps to 600 amps
60l amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Phone 461-5678
City Euuene
Supervisor License Number //,89 RET.
m.I-9?'
Expiration Date
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see "BII above
200 amps or less
20l amps to 400 amps
Over 40l to 600 amps
Over 600 amps or 100u volts
Expiration Date 6-28-96
Signature of Supervising Electrician
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Ovners Name~nV)
Branch Circuits
D.
Ih n fo VYlIJ
I
Nev, Alteration or Extension Per Panel
Address~<:;:'YYlP,
Ci ty Phone 7.;20 ~ ?d."'J~
OVNER INSTALLATION
$ 35.00
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ~ $ 20.00 ~
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
.:Joan
I tro
"'of-
c;l /, (,.,n
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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DATE: . n-.;PYC"i"l..b .
RECEIPT Jt: _ 'U ,I i /II d-?K
RECEIVED BY~ ^//){) } -
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