HomeMy WebLinkAboutPermit Electrical 1995-2-24
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SPRINGFIELD
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zonmg, and does not requiro specific land use
approval.
Zoning t V
225 FIFTH STREET ---
SPRINGFIELD, OREGON 9747fJeje 7- (, Y - ~...,
INSPECTION REQUEST: 726~~ed Signature " W yt,-
OFFICE: 726-3159
1. ~IA.C4T;rON OF...J~STAL~TION
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nrr~li~N Q,~rs
rC'lJOB DESCRIj'TtON - ~
\~O_ C'A ~0.LL.A-A.
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 INSTALLATION'ONLY B.
Electrical contract~: \A.o~ Y'lod
Addressm~\ ~m\.~ '
CityT.J.Yf(\O Phone~t6.m'c1.a
, Supervisor ~icense Number ~
Expiration Date \~.. \.~~
Constr Contr. Number C"'A2..C\l ()
Expiration Date \ ~ . \0 .I\~
Signature of Supervising Electrician
~~J2, Q~~ '
Owners Na~~)~~; I~~.\~
Addre~lS> -'~
Ci t'{.\). ~ ~O Phone_ 4-~. SlQ.l1
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners'Signature:
~A~~~---------------~~~'~--~-----
RECEIPT 11: '~ \\ ^Ari )
RECEIVED BY: '>m \;rd"~
ELECTRICAL PERMIT APPLICATION
o..~r:J? J l.o
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each ~anuf'd Home or
Modular.'Dwelling'
Service or Feeder
$ 85.00.
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
~r Relocation:
200 amps or less
201 amps to 400 amps
401 amps to ,600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconn~ct Only
$ 50.00
$ 60.00
$lOO.OO
$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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
$ 35.00 ?5
\
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. '
Mi~cellaneous (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
3% Administrative Fee
TOTAL
$
$
$
$
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