HomeMy WebLinkAboutPermit Electrical 1995-4-17
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SPRINGFIELP
Tha to\lowln9 proi~~t ~~~iI'O 8Poci1iC \and Uge
z()n\ng. r.,nd doeG
appro'Jul.
225 FIFl'H STREET zon;j,g~l2---
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 726~",'9 4 - nA2
OFFICE: 726-3759 AuI:Or1ZOd Signature
2. CONTRACTOR INSTAL"IfTION ONL\..\. B.
Electrical Contracl\orOO~ lJTtIW.V
Address ~~ ~ n Lo<F)'"'- Q~ -
City~_ Phone ')\4.t\\a;:,
superv~;or~icense Number .~~~~
\C). \ .Q.5
e,q,\~~
o.~.08
1. ~~~~ OF~Q!~~I~~
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(\ .lOA DES.crv:PTi~ c9st.t.ee
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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,
Expiration Date,
Constr Contr, Number
Expiration Date
Signature of supe~~.ing Electrician
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Owners Nam~~\h.D~
AddreSS~ rv~,\ \ ~ 1.L~ ~
Ci ty ~ 1ktPhone l~.tl~
OIINER INSTA ~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------Q--~:-\-7 .~~~-
RECEIPT jI:~" _;.. '" \ \01,(,((1
RECEIVED BY', ,~\ II /\ /' ..
. - -
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q~,
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3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft: or less I $ 85.00 ~
Each additional 500
sq. ft or portion 4 ld2
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 l
201 amps to 400 amps
.Over 401 to 600 amps
. Over 600 amps or 1000 volts
$ 40.00 1CL
$ 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 Lighting.
Limited Energy/Res
Limited Energy/Comm
no t included)
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
.. C'~' 03% ,'Adminis tra ti ve Fee
. ,. ,-",-TOTAI::"'..' -' - .. .
$
$
$
$
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