HomeMy WebLinkAboutPermit Electrical 1994-8-3
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The following pro}eelas IUbmllled hell the lollowln
zoning, and doBl nol require lpe<:lfIc lend use
225 FIFTH STREET approve!. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonl~'
INSPECTION REQUEST: 726-3769 Ci ty Job Number 9'/ /~/
OFFICE: 726-3759 DCe
COIo!PJ.~'I'~ FEE SCHEDULE BELOV
Au\hOriz8d Sign8\Ufll 3 .
1. LOCATION OF INSTALLATION
1377 1fi/tCf-('fCe1- A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTIO~ '
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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.
It ems Cos t
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 .. h "....,
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorClbW0:e[(@:.1 ;;:(~dl"'c..
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Address Ro..&x ?()d()! ?=<fl1eV\€'. OR.
Ci ty Cf7{jt} d- phone&fG-'B3 73
Supervisor License Number ~SI:;
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Expiration Date I()-~~
Constr Contr. Number ~~;,L)
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
C. Temporary Services or' Feeders
Installation, Alteration or Relocation
Expiration Date S- 'lS
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signatijre of ~upervising Electrician
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Owners Name rUr-+~9~ +~ &Q.vt~1 5"bA .
Address ~vv-€.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00 p.a/
One Circuit I
Each Addit ional
Circuit or with Service
or Feeder Permit
Phone
City
$ 2.00
OVNER INSTALLATION
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
5. SUBTOTAL OF ABOVE '3S. CO
5% State Surcharge J,.7S"
3% Administrative Fee /. d"-
TOTAL '4 ? ~<!)
oil
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT 11:
RECEIVED BY:
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