HomeMy WebLinkAboutPermit Electrical 1995-9-20
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 72'6-3769
OFFICE: 726-3759
3.
1. LOCATION OF'INSTALLATION
;7~ q. _/.-K/.7'JJC//~n~..k ~?" A,
LEGAL DESCRIPTION
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JOB DESCRIPTION ./'
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical ContFactor INFloVrt'r'IECtSc:r#l2I'C
ELECTRICAL PERMIT APPLICATION
City Job Number q5~'::;--~~
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
It ems
1000 sQ,ft. or less
-~ach additional 500
sq. ft or portion
'thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
uni t.
Cost
$ 85.00
'.
"$ 1;;.00
$ 40.00
Sum
Address :;l '33;2.;:2 N.E l'?9---,u~ ~ 200 amps or less $ 50.00
Ci ty ~tAS'" ,(; ~,no. 201 amps to 400 amps $ 60.00
Phone '3(;.0.':;84- li'"..(-8") 401 amps to. 600 amps $100.00
VJ'" 601 amps to 1000 amps $130.00
Supervisor License Number ';l(.p~7. S Over 1000 amps/volts $300.00 '3 oc> ~
Reconnect Only $ 40.00
Expiration Date 1"- 1"5
Constr Contr. Number g~02<<
Expiration Date
/0-"'75
;i?/:;iZising Electrician
~ers Name ~'p;r~~ ~~~
Address "3~ ~~ ~.
City ~?~q)}?)'hone ?_~-~crW
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 9. ~.~.s-
RECEIPT fi: /~~P
1lF.f:F.TVF.D IlY: r;;~'-
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 "B" above
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Nev, Alteration or Extension Per Panel
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
'i/~
One Circuit
Each Additional
Circuit or vith Servic~
or Feeder Permit ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
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