HomeMy WebLinkAboutPermit Electrical 1995-1-26
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225 FIFTH STREET ZOning-1j. ,
SPRINGFIELD, OREGON 97477 D.k-2lJ -tj,
INSPECTION REQUEST: 726-3769 fl M
OFFICE: 726-3759 Authorized Signature
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1. LOCATION OF INSTALLATI~
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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
Electrical Contractor ~~ c::;,~.:2.-
Address .sP4'e9?1f. n<1{-1 ~",'
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Ci ty ~ h 9..&'N", Phone.J, Y'b -tJq-,1~
Supervisor License Number /-<..( Y.<:"
Expiration Date /tJ- /- C/.5"
-._ Cons t r Con t r. Number .5""41 4:? /
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Signature of Supervising Electrician
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Owners Name ~#a. M~",,/:;"
Address 2tCQ/1 C~d".,./j-d&./,L
Ci ty ,1(:;--;:'" '!?AN" Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------Jf7~ --------
DATE: I -J.l Jn4,--) .
RECEIPT 11: n.' ;'") I ~rJ.{,"7'
RECEIVED BY: ~ I.J ~ v I
ELECTRICAL PERMIT APPLICATION
City Job Number_
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
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unit. ~
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Cost Sum
It ems
$ 85.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00. :56."~
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
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5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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