HomeMy WebLinkAboutPermit Signage 1995-7-24
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JOB DESCRIPTION I ( .
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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
Electrical Contractor~~~ ~J.
Address ~nL/ :T{J/l.M/'~ f{.
Ci ty >,ff'1 k-p(r! Phone JLf.2-1l bOf
Supervisor License Number L.(S r 5
Expiration Date JfJ/~S-
Constr Contr. Number ~~
Expiration Date ,?/0. 7
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Signature of Supervising Electrician
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Owners ~ame ~~~
Address-W. as () unoO .
City~~hone
~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
'< -'2 'Yo"':?5"
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A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
bmittOd h~5 t. I I
,he tollowing projec\ ~~~ire spec~IC lend use
zoning. and doe9 no
225 FIFTH STREET approval. n n ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning r l ) qC:!..l\ArVI
INSPECTION REQUEST: 726-3769;>,A.u-c6 Ci ty Job Number UJULJ ,/
OFFICE: 726-3759 Oole_ \IM.. -
Authorized Slgna\ure~OHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~f7l;'2 !mU:..... SfreM-
I~~\ON t\~
Items
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
unit.
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Cost
Sum
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting--J--
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$2.00
not included)
$
$
$
$ 36.00
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40.00
40.00
20.00
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