HomeMy WebLinkAboutPermit Electrical 1995-1-13
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225 FIFTH STREET 001"0
SPRINGFIELD, OREGON 9747]).... I ~ I ~ -tf<"
INSPECTION REQUEST: 726~Jt~~~ed S'
OFFICE: 726-3759 'g08lu,.
IJ'M
3.
1. ,,40CATION OF ljNSTALLATION
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LEGAL DESCRIFTION
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~ D~SCRIFTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION'ONLY B.
Electrical contract~~ \09(~ ~lrl
Address.m ~ \. ~ffi\.ffL '
Ci ty~ ~~O _ Phone~C6. m~a
Supervisor icense Number ~f\~
\0. \.C\~
CA2..C\lo
'Expiration Date
Constr Contr. Number
Expiration Date \ ~ . \0 .n^
Signature of Supe~~ng ~~ctrician
t1?vi4 . ~~ "
Ovners N~~~mttqrs~~'
AddrelAt:\'S 00l(1)'lOI ~
cigX1C,\ 1lY1()~ ~Une
OVNER JIALLATI~
The installation is being made on E. '
property I ovn vhich is not intended
for sale, lease or rent.
Ovners'Signature:
DA~E~-------------~--f~-~~'
RECEIPT j1: 'j 1 - J:;i.: 11 \ ~ '
RECEIVED BY: t 'IJJ} ./ \ r"-.P:4w
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ELECTRICAL PERMIT APPLICATION
City job Number q Lf { I G or
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
"
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each ,Manuf'd Home or
Modular, 'Dvelling'
Service or Feeder
$ 85.00.
$ 15.00
$ 40.00
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
Reconnli'ct Only
$ 50.00 SO,OD
$ 60.00
$100.00
$130.00 l~
$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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith servi~L-1
or Feeder Permit ~ $ 2.00
I {o?5. GV
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
3 tt 8'. 00
17.1./0
10.1./1./
375..i;]L/