HomeMy WebLinkAboutPermit Electrical 1995-3-6
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The following project as \'ubmitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET z' L'D?- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 oOlng /' t1 A f\qfl n
INSPECTION REQUEST: 72603il69 '3 -(.-'-1 i City Job Number '1 Lt\.) 'k...L-
OFFICE: 726-3759 .1 v"\
Authorized Signature IV ~ .
~. lYt!~ O~~~Xl~\"llPi/
-bD~~~~ION (jJP..fY~
~ JOB W:SClUPTIONL~
r-.. \.' l.l(\, u r. J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY/
E1ectri 1 Contractor
Address
City
Supervisor
r0HPTRTR FRR SCHEDULE BELOV
New Residential-Single or ~
Multi-Family per dwelling unlt '
Service Included:
Items . ~ost '. . 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
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
$ 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
of Supervising Electrician
"
....... Owners Nam~~ ~
Address \.Q"~ ~~
Ci ty~l~ Phone J\l' 3455
~\INER'\ ~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~ers Signature:
J()~E~---------------~~~~-:~~--~
RECEIPT #: . 0 J \' ~'I V
RECEIVED BY: m\~ \I/""""
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New, Alteration or Extension Per Panel
$ 35.00 ~r:o
$ 2.00 g
not included)
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
One Circuit
Each Additional
Circuit or with Servi9\
or Feeder Permit ....GlI..-
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00 "
$ 40.00
$ 20.00
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