HomeMy WebLinkAboutPermit Electrical 1995-1-19
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTIO'}
/70 32.3 7~
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LU~~DE~~~I~\)__,,~ C' 0_
Permits are~on-transferable and'expire
if york is not started 'vi thin 180 days
of issuance or if. york is suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contracto~REGON HEGRIC SERVICE
Address Pot3o><:. ~OJ
Ci ty CL...a Q..,,~_ Phone~,~ - I /.p~ C
I
Su'pervisor License Number I,.3Qcl S
Expiration Date /0 JqS
Constr Contr, Number ~04("C'./
Expiration Date /o/qs
:i7:ku~~:;:rv;Qj)~C~~ician
Oyners Name ~ L.A4. HIt _t.
Address .s"Am..-::
City
Phone tLN 03c-,G
OYNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
---------------:~ ------
DATE: I//? /j>j
RECEIPT It: _ ' f /,C,/} ~/J
RECEIVED BY: 4~A ~
ELECTRICAL PERMIT APPLICATION
City Job Number 7'5"~s-l
3.
COMPLETE FEE SCHEDULE BELOIl tt
Nev Residential-Single or
Multi-Family per dyelling uni t. . .-..
Service Included:
Items Cost .. Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
S 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 10.00 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 ~S 0-0
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
One Circuit 1
Each Additional
Circuit or yith Service
or Feeder Permit
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10.,
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