HomeMy WebLinkAboutPermit Electrical 1995-4-10
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. SPRIN__L-;;-
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225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-37~.
OFFICE: 72~-3759
Zoning
Authorized Signature
1. LOCATION OF INSTALLATION
Cj'lf~ flA-iLJeN. ,&utJ,4,B'"
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number -9?'C) ~5"7
~QftrLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per'dwelling unit.
Service'Included:
.3.
A.
LEGAL DESCRIPTION
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JOB DESCRIPTION ... 1000 sq, f t. or less
E.\OE/lJO l-I(.,HTINt'7 c/GI. ~ (x)7Ui'Tt:.,i:;i, Each addi tional 500
. sq. ft or portion
Permits are non-transferable and expire thereof .
if vork is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or F~eder
2. CONTRACTOR INSTALLATION ONLY
Elec'trical' Contractor PM\tl()'v\,
~v
Address' . 2,-1 2..-[ TIe..NJ~,v ~vlD
Ci ty eVf::1,8'rJe- Phone ~cf:. -7 ~'Z-
Supervisor Licen.se Number .;;2? K -.s
Expiration Date 10 - / - '1~ ..
Constr Contr. Number .:q-" ~rJ
Expiration Date If-Ie:;; - '75"
Signatu e-o Sup T ;"._si..n7g7 Electrician
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Ovners Name-J/'<v~ ~E~......
Address ? ~ c ?c.
CitY0~LP~. Phone -?7~-*~bO
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OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ,-/-/l!>"77
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RECEIVED BY: ~~.'
Items Cost
B.
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
c.
Sum
$ 65.00
$ 15.00
$ 40.00
S 50.00
S 60,00
$100.00
$130.00
$300.00
$ 40,00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200. amps or less
201 amps to qOO amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 60.00
see "B"
above
New, Alteration or Extension Per Panel
..L
One Circuit
Each Additional
~ircuit or vith Service
or Feeder Permit :3
E.
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$ 35.00 .:>::,,-
$ .2.00. /,." '!;!!.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res'S 20.00
Limited Energy/Comm $ 36.00
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SUBTOTAL OF ABOVE ~I
5% State Surcharge .;J"'> -r =>~ I; 'Z.~
TOTAL . LJU Z.Iif
',-
5.