HomeMy WebLinkAboutPermit Electrical 1995-5-30 (2)
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The fOllowin .
Zoning, and ~proJect as submitterl
approval. oes not require spe~ithf.lS, the fOllowing
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97477 ate,,;-o<c q,
726-3\~619rized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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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 Kl.b~~ ~f\.S
Address ~Z2-3 c.Qt"'\a(&.{t. Q.J"'\
Ci ty~~ Phone.!e..~e 1780:;-
Supervisor License Number ~R~~
Expiration Date 10/ /qS-
Cons tr Contr. Number 103l.{ 17
Expiration Date 12;5-/.,S
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Signature of Supervising Ele
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Owners Name ~ ~+-L-
Address !(nab ~TrC>y\"'\io..)~d
Ci ty ~\,rFtJ Phone
OVNER INSTALLATION
ian
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIVED Bt3t~) \ 1:0 1
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3.
ELECTRICAL PERMIT APPLICATION
City Job Number q~\q
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COM~LETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
$ 35.00 <;.r.J.,~tj)
1
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
$
$
~~S CD
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40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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