HomeMy WebLinkAboutPermit Electrical 1995-7-19
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Zonino lA-:r:'
fhWRJ-11-'1"'-
AZt?6riiU<Sgnature ' rJ "^
225 FIFTIl STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~~~\~~f\~
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1. J~B~~) 14m~
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P r its are non-transferable and expire
i ork is not started vithin 180 days
of issuance or if.vork is suspenaed for
180 days.
2... CONTRACTOR INSTAL]:1ION ONLY _ B.
Electrical contracto~~ ~Le~
Addres9. 'Vl\) ~ 9 A
City1O.ti..~Ol\h Phone 11Jo'1~
Supervisor Lice~se Number 835~
Expiration Date \'\). ~.~
Constl. Contr. Number ~ \C9~31~.
\(). f).~
Expiration Date
~ature of s~~c~an
O"".r\\~Drl ('o~.
Address ~~ ff\~ l\C'
Ci ty ~ 'J.:A.- Phone~. t\-bS
OYNE; \N~LLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
,
Ovners Sirrnature:
(I:::-tt]-~'1-~-------------~-
RECEII'T II: C ) J A , <;- / I(
RECEIVED BY: ~l~
DATE:
3.
ELECTRICAL PERMIT APPLICATION ,Q
~<,ty Job Number q~\..9LV-\
COMPLETE FEE SCIIEDULE BELO\l *
Nev Residential-Single or
Multi-Family per dvelling unlt
Service Included:
Items . ~os~ . Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
\
$ 15.00
$ 40.00 '4f)
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see tlB" above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
not included)
5.
$
$
$
$ 36.00
\~~
1O~.9B
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL