HomeMy WebLinkAboutPermit Electrical 1995-4-20
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The. following project ao subm~tlod has t~
zOning, and does not require specific In
approval. I, fl __ I
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Authorized SignAture kJ M
225 FIFTD STREET
SPRINGFIELD, oREGON 97477
INSPECTION REQuEST: 726-3769
OFFICE: 726-3759
1.
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LEGAL ~EAW!1'IO.! /V) ^O'
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,
Pe~mits are non-transf~rable and expire
if work is not started within 180 days
of issuance or if. work is suspen~ed for
180 days.
.' CONTRACTOR INSTALLATION
oNLY /
/
Contractor
City
Supervisor
Expi~ation Date
Constr Cont~mber
Expirati Date
;'f Supervising Electri~
.' "'\.
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Owners Name \ '<\~ \ ffi \h~
Address \\ a:V\ "on ~ 'P,f>l{
t" -.- '
City ~~ Phon e.:l2,k:r 9.\1 1
OVN~R I~TALLATION
following
usa
ELECTRICAL PERMIT APPLICATION
CW9U:8
City Job Number
31!
Ail New Residential-Single or
I Multi-Family per dvelling unit.
I Service Included:
COMPLETE FEE SCHEDULE BELOV
,
Items
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1000 sQ.ft. or less
Each additional 500
'sQ. ft or portion
thereof
Each Hanuf'd Home or
.Modular Dwelling
'Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
\
$ 50.00
$ 60.00
$100.00
$l30.00
$300.00
$ 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 40l
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D,
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Branch Circuits
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vo.lts
$ 40.00.
$ 55.00" "
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or ,with Service
,or Feeder Permit 1
$ 2.00
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The installation is being made on E, Miscellaneous (Service/feeder
property I own which is not intended I -Each installation
for sale, lease or rent. I Pump or irrigation
. I Sign/Outline Lighting
OWn~_ifl11adture: ~ I,' Limi ted Energy/Res
~/' _ ~ Limited Energy/Comm
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D^rn~----zt-:ZO!-:-a.5---~-1T~-rJIcr<-~~ Ir;:/- ~~B~~~~; ~~ r~~~~:e
_____...., " .Ji.vlllIl I17A/}'I';, 37. Administrative Fee
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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