HomeMy WebLinkAboutPermit Electrical 1994-11-30
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SPRINGFIELD
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RLECTRICAL PERMIT APPLICATION
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225 FIFTH STREET Zonina
SPRINGFIELD, OREGON 97477 II 9'--/
INSPECTION REQUEST:, 726_376900Ie ..,.z,a- (, City Job Number
OFFICE: 726-3759 Authorized Signalure JJ '&'::: --.-,......
~OHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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A. New Residential-Single or
Multi-Family per dwelling unit,
LEGAL DESCRIPTION j-:1^3?7?("O' '7~_.~~rvice Included:
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JOB DESCRIPTION
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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
Electrical Contractor NM1.(11'--' e.-loS,.. .::x6t-..l6
Address toc.( J~f);J
Ci tyCUtGb'V'b {)/L- Phone 34-;)-/167
Supervisor License Number Lf~~ ~
Expiration Date 10/ qS-
Constr Contr, Number bL./&7/B
Expiration Date ~/~
Signature of Supervising Electrician
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Owners N~me 0h SrtlJih
Address )() (( I (n(JL.
Ci ty fuA-\h uLPhon$1, DlolS
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE~-----------~---It~~~-----
RECEIPT #: '1+h ) \ C:..~ ,., l n
RECEIVED BY: ( 1J\. J\{JO'fT
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
201 amps to 400 amps
"01 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
,;
Sum
$ 85,00
$ 15,00
$ "0,00
$ 50.00
$ 60.00
$100,00
$130,00
$300,00
$ 40,00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
D.
Branch Circuits
$40,00
$ 55,00
$ 80,00
see "B"
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ "0.00
$ 20,00
$ 36,00
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