HomeMy WebLinkAboutPermit Electrical 1994-12-13
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The, following project as Gubmlt1ed tuls the fol
~~~~~~~nd does not require specnic land use
225 FIFTH STREET CO ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino n ^\"1."n
INSPECTION REQUEST: 726-3M{J"jZ.-/~r'14 City Job Number '"\~ l-r~':"'\
OFFICE: 726-3759 -I "it
Authorized Signature tJ +^COMPLETE FEE SCHEDULE BELOV . . ..
1. LOCA~ION OF INSTALLATION
q.-:JI../ IYJ/J:n 8f, A. New Residential-Single or
Multi-Family per dwelling unit.
\(\~~~CJW'RON ( (N' Service Included:
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JOB DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor,Snnitrol Security
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Address P.O. Box 21009
City Euuene
Phone 461-5678
Supervisor License Number 1&1I''IIU:::r
Expiration Date
tp- 6/ - f{f.
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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Owners Name "'T'>>?6.e.l' A/Jl;} /
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Phone '7% - ?? :2.:2 (
Address 92</ /1'J/},'n
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT 11: \ t ,\......""\ C""'-1 /' .
RECEIVED BY:.O\\I'\I\.) \.) \-1';
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
/
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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