HomeMy WebLinkAboutPermit Electrical 1995-12-5
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SPRINGFiELD
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Tho following piOjOct 113 t,lub\T&ted ha~ tho' fc!lo\\ t~tf;".;z~
zoning. and does not requlr~ o.p-:i:1t1c ialld i!:.e ;:"';:>l:.:~~~
approval. ~~itT~.."t"-....f.l.1...
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9;~~~;~~~ri".<.i Si9n"ture,~___ Ci ty Job Number
225' FIFTH STREET.
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION ~I\
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor BOB FISHER
Address 1 AD lllNGSRll1lV ~VFNrw
Ci ty l;trl~lO'~Tl4'
Phone nRq~7_9T'l
Supervisor License Number ~7SS
Expiration Date 10_1_QR
Constr Contr. Number' 96275
Expiration Date
l_?S_OI'
Signature of Supervising Electrician
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Address ~\t ~~ on..rr-~
Ci ty ~^- Phone 14-\:f. lo~
OVNER\I~ALLATION
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Ovners Nam
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------~-----~~---------------
DATE:, /~/f?/5.r of
RECEIPT ~: . Ie; 7<7 <;i ~9~
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi~Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
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
Items
Cos
Sum
S 85.00
S 15.00
$ 40.00
$ 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 $ 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
Nev, 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 vith Service
or Feeder Permit I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
$ 35.00 ~.5".~
-
$ 2 . 00 Z ? 0
no t ,included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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"2Q 91"_