HomeMy WebLinkAboutPermit Electrical 1995-12-13
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The following prole t equire SpecifIC land us
zoning, and does no r
approval. I n /J ,
225 FIFTH STREET 0\' f.-l-I"--'
SPRINGFIELD, OREGON 97477 zoning ic:::'
INSPECTION REQUEST: 726-37B~te I_Pj'3j1.J, City J_ob Number ?J4i"/J9:/'3
OFFICE: 726-3759 ,/?~ ~
Authorized SIgnature ?>-;--J"OKPLETE FEE SCHEDULE BELOlI
1. LOCATION OF INSTALLATION
_---?1~ Grand U,:c:,-tc,
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if ...ork is not started ...i thin 180 days
of issuance or if ...ork is suspended for
180 days,
ELECTRICAL PERMIT APPLICATION
A.
Ne... Residential-Single or
Multi-Family per d...elling
Service Included:
unit.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D1o'elling
Service or Feeder
$ 85.00
$ 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
City Euueoe
Phone 46 1 - 5678
Supervisor License Number I? 1fO.:JL..'L.
Expiration Date
/0./. c,(b
Constr Contr, Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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O...ners Name l TJ, Yl
Address ~ml2
Ke / lev
/
City
Phone '7'F7-J./L/77
OVNER INSTALLATION
The installation is being made on E.
property I o...n ...hich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: /2~
RECEIPT #: ,
RECEIVED BY: '-
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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ne..., Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or ...ith Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res , $ 20.00 ;).{) 0tJ
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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