HomeMy WebLinkAboutPermit Electrical 1995-11-7
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Authorized ~ I ",<p
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
7&;"55 .~~t7U ~, ~
LEGAL DESCRIPTJON
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Cont~actor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Oyners Name RrYiM.. ftiJlC'J.J&2_
Address 255'5 ~) &- 4-
City ~, Phone-*-5U~
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
tor sale, lease or rent.
O~\ Signad1~tr .
~-=---~----~---------------------
DATE: JJ~ ?-4:j~ ' ,
RECEIPT II: /~?:i?
RECEIVED BY: "~ ~,
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~1~~~CAL PERMIT APPLICATION
City Job Nwnber.2;5 /55(0
3. COMPLETE FEE SCHEDULE BELOY
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less l.--- $ 85.00 jSS:'
Each additional 500
ft or portion "
sq. ~
thereof ~ $ l~.OO
Each Manuf'd Home, or
Modular 'Dyelling
Service or Feeder $ 40.00
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
$ 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
$ 40.00
$ 55.00
$ 80~00
volts see "B" above
D.
Branch Circuits
"
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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