HomeMy WebLinkAboutPermit Electrical 1995-3-23
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION rJ IA
'f~OO A",,:..:, ~*/ 7r o'r:j,r) VIr:!-. A.
LEGAL DESCRIPTION
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JOB DESCRIPTION I /
EIJ?ff'7;,f"",l f?,""r>>(J-~.4~~S! ~"'oI-
per~r~if~ansferable 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 Contractorr..AV tJ.J)C P/EP1..LC
Address 3.3;23 8' Cj?.At"&' hs"of_
Ci ty C9:~~ '. Phone ql{:J:. 1~()
Supervisor License Number :'55'7",25
Expiration Date /~~~
Constr Contr. Number ,.~ ~
Expiration Date fit' ~
y,signatuJ;:::'ll~ 2!!Lian
Owners Name ~~~1 ~~~
Address ~ \.;:<CJ..$ ,~~ #/sv.;
City F{.AfJ.?,"'O~ Phone 0~.;. '3'f(f~
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OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:~~
________________________~----------- 5.
DATE:_ ~'/~7' :'5
RECEIPT II! /~
RECEIVED BY: . __ _
ELECTRICAL PERMIT APPLICATION
City Job Number
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3.
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items Cost
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
Sum
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
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation "\
v
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 IService
o'r Feeder Permi t \
$ 35.00
$
2.00
'.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
~Sign/Outline Lighting (
Limited Energy/Res
Limited Energy/Corom
--
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~.-
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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