HomeMy WebLinkAboutPermit Electrical 1995-08-22sPfrtlv(;FtELo
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225 FIPTrl STREET
SPRINGFIELD, OREGON
INSPECTION REQTIEST:
OFPICE: 726-3759
1. LOCATTON OF INST
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EIJCTRICAL PERHIT APPLICATI
City Job Number
3. COHPIJTE FEE SCffiDTII^E BELOTI
A Nev Residential--Single or
Multi-Family per dve1J-ing unit.
Service rncludedt ,a.*" cost Sum
cir Phone ,l+l -f,A\U
Supervisor cense Num ber tb 86s
Expiration Date lO -- I -95
Constr Contr. Number OS94q
Expiration Date 9-/-45
si of Supervising Electrician
0vners Name
Address
JOB DESCRIPTION
Permits are non-transferable and eipire
if vork is not started vithin 180 days
of issuance or if uork is suspended for
180 days.
2. COT.ITRACTOR INSTAIT-ATTON ONLY
Electrical Contrac... Cfl3 8to 0t''U-n,lgf\O
Address p , O. fut'l. t*gL-'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
s 40.00
B Services or Feeders
fnstallation, Alterations
or Relocation:
200 arnps or less i
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
5o, <-ro
C Temporary Services or Feeders
Installa.tion, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
-Over 40L to 600 amps
0ver 600 amps or iOOO-nAITs see I'Bt'aEove-
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.OO
E. Misceffaneous (Service/feeder not' included)
-Each installation
Pump or irrigation
Sign/OutIine Lighti ng-
Limited Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
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2.t.5 o
o a
s s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
s 40.00
s ss.00
s 80.00
Ci ty Phone 'l4U - bbAU
OVNER ALI-ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Orners Signature:
DATE:
s 40.00
s 40.00
s 20.00
s 36.00
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