HomeMy WebLinkAboutPermit Electrical 1995-12-11
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225 FIFTH STREET l).~1o 1~ _' I ro _ - ELECTRICAL PERMIT APPLICATIO
SPRINGFIELD, OREGON 9747.7 ~ q' .
~~~i~~IO~2~~~~T: 72~~~~)Q {' _ City Job Number 51 ?f7~
, 3. COMP!4TE FEE SCHEDULE BELOI/
LEGAL DESC!liPT:J:QN i7 03 '3 (, 3, O(li5'O /
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JOB DESCRiPTIO~ '
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Ovners Name'~ :-. E.~Q.Sqn~ ~,,~ \
Address \iU,l\ \\\\c'\, '"'
1.
LOCATION OF INSTALLATION
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Electrical Contractor <::fA.'G'Q\~.
Address p,o,80x 1"'5
City ~xme 97'-\3\ Phone 7ttt -CoCfl7
Supervisor License Number L.-\-09 ~ - S
Expiration Date 10-\-9<6
Constr Contr. Number Qb'2..2-b
Expiration Date ?..- \L\--90
City
c.,~~"'-
Phone
OI/NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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----~----------q---------------------
DATE: n_-I \- '5.
RECEIt{lI: l)\ <-r 71 ~
RECEIVED BY: f-,l _ m r::lU-M-()()
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
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 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 UBI~' a!Jove
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 '3S
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
S 20.00
$ 36.00
5.
?>s
V"J .s
\. Cl "'J
7.,7.'Oll
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL