HomeMy WebLinkAboutPermit Electrical 1995-4-28
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Zoning , 1--- jJ 12-
225 FIFTH "U\r.JH 'o_.LI.~} y ~O r
SPRINGFIELD, OREGON ~7~1 )
INSPECTION REQUEST: At1,l!~J.~i~n.tura tv M:
OFFICE: 726-3759 ' ,
1. LOCATION OF INSTALLA&O~
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LEGAL:DESCRIPTION
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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 I.9IAI~5 ~~
Address Z/o W1I't:UI') #- c..
Ci ty Ez."e;a,.,t; Phone ~S.? -/3~.2-
Supervisor License Number "3t:)~/ 5
Expiration Date /eJ/I/'1S
Constr Contr. Number 73 7~2..
Expiration Date ~/~~7J>
Sigri?Z2?Z Elec~
Owners Name ~'.(,(L~ .q~~{1' D.
Address .//q ,7)I!:!'~:;# C;><.
CitY~""'f'I"~.z";~hone ~-/"':A'7'
OVNER INSTALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Owners Signature:
DA~E(l'=-2- 0 ..... '-1:5 ----
RECEIPT 11: to/7 IV/
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3.
ELECTRICAL PERKIT APPLICATION
City Job Num~er ~t!//<:?S-
COMPLE'l'E FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
Sum
Items Cost
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
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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
$ 35.00
$ 2.00 2.-~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Carom
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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