HomeMy WebLinkAboutPermit Electrical 1995-11-16
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225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUE'ST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LECAL DESCRIPTION
J'7tp;2. 34 ~ <" ~/8V
JOB DESCRIPTION . 'j
,"'5.?,?!?A'~r LJ<f/7(-:S CL,;:J,'i' <In'&J
If6..T AS7l!k <5'~ 0 .
Petmits are non-tranSfera~e and explre
if vork is not started vithin 180 days
of issuance or if.vork is suspenaed for
180 days.
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor PHTfTPC::
Add ress ----3.l70 Mp".n()w r .<lOP
Ci ty _F.lI""n<>
Phone 688-6121
Supervisor License Number 27195
Expiration Date 10/9~
Constr ~ontr. Nurnber,20-179C
Expiration Date 10/95
Signature ~f ~ervising Electrician
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Ollners Name c.nz: ~,c ''y?~I'A~,.r-/dd
Address -::2::2.<" J../. 60 sr,
Ci ty 978.' lM. Phone 7?-('..:> --S15'3
OllNER INSTALLATION
The'installation is being made on
property I olin vhich is not intended
for sale, lease or rent.
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Olloers Signature:
DATE: /1 '/6 '"7~_
RECEII'T II:. ~ '.
RECEI'IED !l'{,--.L / ~
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ELECTRICAL PERHlT APPUCATION
Ci ty Job Number '7IStj~
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3;
COMPLETE FEE SCHED~ BELOV
'*
Sum
A.
if
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~ev Residential-Single or
l'!ul ci-Family per d'Jelling uni t.
Service Included: '
Items Cost
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~OOO sq.ft. or less
Each additional 500
isq. ft or portion
! thereof
Each Manuf/d Home or
lModular Ovelling
iService or Feeder
$ 85.00
$ 15.00
$ 40.00
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Services or Feeders
]nstallation, Alterations
or Relocation: '
,
,
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
~Ol amps to 1000 amps
qver lOOO'amps/volts'
~econnecc Only
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~emporary Services o~ Feeders
lnstallation, Alteration or Relocation
ioo amps or less $ 40.00.
201 amps to 400 amps $ 55.00' .'
Over. 401 to 600 amps $ 80.00
qver 600 amps or 1000 VO.Lts see "B". above
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
,
,
~ranch Circuits
i
gell, Alteration or Extension Per Panel
One Circuit v- S 35.00 ~~,c:;:cro
Each Additional
~ircuit or vith Service
'or Feeder Permi t $ 2.00
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5~
Miscellaneous (Service/feeder
~Each installation
p,ump or irrigation
Sign/Outline Lighting
I.Jitni ted Energy/Res
Limited Energy/Comm
;
not included)
SUBTOTAL OF ABOVE
$7. StaCe Surcharge
3% AdOlinistracive Fee
'tOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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