HomeMy WebLinkAboutPermit Electrical 1994-8-16
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225 FIFTH STREET Zonlnp
SPRINGFIELD, OREGON 97477 ~~
INSPECTION REQUEST: 726.J3iil69 I I .
OFFICE: 726-3759 Authorl18d SignatUre
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SPRINGFIELD
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3. COMPLETE FEE SCHEDULE BELOV
City Job Number
1. LOCATION OF INSTALLATION
<'8'03 ~~p.) S;; A.
LEGAL DESCRIPTION 1'\'2. L
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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 suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorSf'~JtY ~J;!"rJ;..r...
Address ?S"J? I ~S.z:;oC f)~M[,.r
Ci ty S~ Phone, r773 - 3,}3-~
Super,visor License Number 2S-i/O S
Expiration Date
Constr Contr, Number ~~~~l/
Expiration Date
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Owners Name /JaR " I?~ &~J
Address / ~/,? CA-"I :J::-7C1L ~ ;;;AJ.L. #
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------~--------------------
DATE: ~:'" -':';f ?s-17-9t.f .
RECElPT #: -7 .' ~~,~ I "3~ 'Z.
RECEIVED BY: W.
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
$ 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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
L
3r
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3S; (7(7
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