HomeMy WebLinkAboutPermit Electrical 1994-10-26
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:. 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTlUJ.ATIOlit-
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J_l~'i3ES~1]ON / 0 ::r '2-00
("JOB DES~JfION,. L
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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 contractorAae<;<;(ll\,\-tT1lll!I\Hd
B $t
Phone I (j I - l4 LIs
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Constr Contr. Number q D q Cj 0
Address 1411
City ~\tt\d .
Supervisor License Number
Expiration Date
Expiiation Date ~ - 5 - Cf 5
Signature of Supervising. E~ctrician
r~~ ~ "
Owners Name
Address
City Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----nr-----
DATE:L~ (?(;I' q.z;
RECEIPT-#: I?J~t;;, d?-i'
RECEIVED B~_ . =:0 /1."~
ELECTRICAL PERMIT APPLICATION
City Job Number q 40073
3.
COMPLETE FEE SCHEDULE BELOII ~
New Residential-Single or .
Multi-Family per dwelling unit.
Service Included:
"
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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 ampsJvolts
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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
(
.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE .;
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
, $ 20.00
V. $ 36.00
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