HomeMy WebLinkAboutPermit Signage 1995-5-10
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The following project as submttted has the following
zoning, and does not require spaci{ic land use
225 FIFTH STREET approval.
SPRINGFIELD, OREGON 974~bning r: V
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Dete
Authorized Signature /J I"^
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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 suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~/1~~_~'q~
~
Address~4:-ZWd~ ,r/!,
CitY~ PhoneJ4-2-/1~cz..
SupervIsor License Number If?S-
Expiration Date
Con~tr Contr. Number~ ~~;lj?
Expiration Date_ J/~~'
Signature of Supervising Electrician
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Owners Name N~;Il WT,
Address? /"LC" /..,./ ::2."~ &t::".
- -,
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------~S:~l;~~-~----------
RECEIPT 11:, '/7 ~M
RECEIVED BY: . ~.
ELECTRICAL PERKIT APPLICATION
City Job Number C?tJ2J~ .
COMPLETE FEE SCHEDULE BELOV *
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
3.
A.
Items Cost 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
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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting :L
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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40.00
40.00
20.00
36.00
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