HomeMy WebLinkAboutPermit Electrical 1995-11-30
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225 FIFTH STREET ~ - -: ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97471~rt>:ooS/gnsn,ro . /)~
INSPECTION REQUEST: 726-3769 - i ': City Job Number %"/..8 Y"7
OFFICE: 726-3759 -
3.
1. LOj;{\TION~OX ;:~ALLATION ....-::: .~
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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 ,B.
~ Contractor&)"U~2?~~
Address ?f~93/?~;e~,:"",-,,-7Jtf:.
City&t.--""'2':-~.Phone o/'~,",-::YA:;;
~, -
Supervisor License Number
Expiration Date
Constr Contr. Number~~~
Expiration Date ~~.%_
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Address
City Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 1~'L'9.c;-
RECEIPT 11: /~
RECEIVED BY: ,., '" -
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COMPLETE FEE SCHEDULE BELOY
New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included: '
I terns Cos t .. 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
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
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
C.
?It?
,
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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 t/c:? .-:::>
5% State Surcharge . ~. ~
3% Administrative Fee /. <#>
TOTAL €/? -z..t=""
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