HomeMy WebLinkAboutPermit Electrical 1995-1-2
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9747 -,.uthortzed Signature
726-3769
1. LOCATION OF INSTALLATION B
7797 .M4$~"Y.:M:::?,/~
LEGAL DESCRIPTION ,/
/7~2. ~.3.t:) .()//~
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JOB DESCRIPTION .!:'6iFPas-71
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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.
Expiration Date /tJ-'1S-
Constr Contr. Number 7?'O~~-
Expiration Date ICl- '11'
Signature of Supervising Electrician
~A"~ 8~j~
ctwners Name-l~~ ,~,~
Address 7797' $~~:;>~ #JVY
City ?;P/C'LZ) Phone2%'~5
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~---?~~~--------------
RECEIVED BY: ~~
ELECTRICAL PERMIT APPLICATION
City Job Number 9-5'~.!iig8
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
COMPLETE FEE SCHEDULE BELOV
unit. ,.M
Items cos~
3.
$ 85.00
$ 15.00
~ -~;;:~-
$ ~.
$ 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
D.
Branch Circui ts
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
..-#;, ~''7~
2. CONTRACTOR INSTALLATION ONLY ,B. Services or F~ders
__~.)(~ - J " Installation, Alterations
Electrical contract~u-<.n{.),n,,[&J~r; Relocation:
Address ~ 16, ~ ~b2nc! {7 ,200 amps or less
~_ ' 201 amps to 400 amps
Ci tye). . Phone 7<(7 ;2..fJEfil 401 ami>s to. 600 amps
f 7' 7Y'7 617"7 601 amps to 1000 amps
Supervisor License Number ',7 ~ :).s- Over 1000 amps/volts
Reconnect Only
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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