HomeMy WebLinkAboutPermit Electrical 1995-8-2
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SPRINGFIELD
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~_.,.,__ f\__1 (I~L~~, Installation, Alterations
Electrical Contractor~1nt,()or Relocation:
Addres~ r1Lr~ 200 amps or less
~ [Ca- \4f2jl fJ (2 201 amps to 400 amps
City f / Phon"2'" 3V'f"1(7t U 401 amps to. 600 amps
, 'C{(I'J'7()EC~ 601 amps to 1000 amps
Supervi or License Number ~ Over 1000 amps/volts
Reconnect Only
Expiration Date~-rJ1 ~n
Constr Contr. Numb ClRlLtC;
Expiiation Date ~
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Owners Name~(\( ~
Address:3287 t\L TG;11f
Ci th1nnc ~ cicL-Phone~-tiXv-/
O\NER~~STALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:, 726-3769
OFFICE: 726-3759
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3.
1. LOCATI9~ OF. IYSTtl~,J.At! ION n , JI
-:25(o\p t4l1lllU. ~tL vf1v ~ A.
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Permits are non-transfer~e and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ectrician
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
-----r---------~--------
DATE: /'2..- q ~
RECEt 11: () / K,"lV:' 2-
RECEIVED BY: iJ cJ,.......a...v-
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number_ q 5D Lf I L'
COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
Sum
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder $ 40.00
,,_.
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
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 Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
/
$ 40.00
$ 40.00
$ 20.00 ,~6D
$ 36.00
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5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL (it
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