HomeMy WebLinkAboutPermit Electrical 1995-5-2
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Zoning and rCJect as subrnhte
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225 FIFl'H STREET Zoning. L-~ ELECTRICAL PElUlIT APPLICATION
SPRINGFIELD, OREGON 97477J.te S-Z-'1rl' nc:::.r'\-:2..(\?
INSPECTION REQUEST: 72671"'769' City Job Number '-"\~ k)
OFFICE: 726-3759 lithorlzed Signelur. 1J1\t.
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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 INST~TION ,ONLY),.\. B.
Electrical Contracl\o~ ,~.J!.'ftff\ft&V
Address_ ~~ ~n lJ2<F)~QQ -
City ~ Phone '):\4. \.\\rfS
supervisor\iicense Number ~~') 'l.S
\C). \ .~f=)
6Q,\2... ~
O. ~.C\..~
Expiration Date
Constr Contr. Number
Expiration Date
Signature of su~~sing Electrician
&..y zn a~ ~~ .-
Owners Na~ tti..Q.i\l m
Addre~spf)4~ \rulAS~l(d
City ,.' PhoneW.Cf4<:D
\
OlINER TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------------~--------
DATE:'5--:2'? /
RECEIPT II: /;T~./ ~ . '
RECEIVED BY: (' ~/~:J ~ -.., ", .-
"/- ,
j.
~?~T~TE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost e5
$ 85.00
~ $ 15.00 4-:S
$ 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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
o.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinp: .,.
Limited Energy/Res
Limited Energy/Comm
no t included)
40.00
40.00
20.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
, 3% ,.Adminis tra ti ve Fee
'.TOTAL. . T. .
$
$
$
$ 36.00
:R'Jq
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