HomeMy WebLinkAboutPermit Electrical 1995-8-17
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The following project es submitted has the foll_
zoning, and does not r&quire specific land..UA~....
225 FIFTH STREET approval. ELrO\iUuCAL
SPRINGFIELD, OREGON 97477 . f't V .
INSPECTION REQUEST: 726-3769 Zonlna l. . Ci ty Job Number
OFFICE: 726-3759 Om ./} / 5.
1.
~~qN OF .J~~LATIlJWthOriZed Signature
'Qr)~\ \'\{ll.~
~D~gp:E;I'ION .
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JOB DESCRIPTION
1)J~ l?c tV c..
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 YV\avh~ ~~h(.
204 J~I4<'r ({-.
Phone .~I-{Z-I'1(~
4 :3 S'"' 5
Address
City ~~NJ.
Supervisor License
Number
Expiration Date
Constr Contr. Number
to Lf./olf
11JJq&
Expiration Date
Signature of Supervising Electrician
/~ 01rw[~ .
(17 L D.
Address ') ~ I illi.u -, .1Jicf'
City fj JQRYlO..- Ph:eJJ8/}.9..&25'
OIINER I~TALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature~
:~~~~-:~---~-~~P;~fT~-=,~
RECEIVED BY: '-..7\l J,JO )
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PERMIT APPLICATION
0.. EJ..)2S \
p) MOHPLETE FEE SCHEDULE BELOII *
A. New Residential-Single or
Multi-Family per dwelling uni.t. , Y
Service Included: '
It ems Cos t Sum
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
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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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting 3
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% S'ta te Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
120.
40.00
40.00
20.00
36.00
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