HomeMy WebLinkAboutPermit Electrical 1995-11-17
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SPRINGFIELD
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESquPTION
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. JOB pESCRIPTION
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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~I)fA)\
Address p,O, eox / tfg
Ci ty f)'E:'x!TE::(C Phone
fk(((Je.
q37~ 337e..
Supervisor License Number ~~~~;>
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Expiration Date
Constr Contr. Number Cf b 220
Expiration Date ~1__'2~ 1brO,t4-Qlp
Signa~f S_~lectrician
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Owners Name \\Q ~\:,,\ ~\"\-uJ()"r\& D.
Address c.., 2/ S_ ~tZ Ie.. S--rr2.e&T
City--Sp2(~~JaPhone 747-212~
OVNER ~N
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~II-~--r=7-':--2}~-----------------
RECEIPT 1I:_nJ~ (/J1c0
RECEIVED BY:_l). ~
ELECTRICAL PERMIT APPLICATION
City Job Numbe/15 I gO L
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
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
$ 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
Branch Circuits
"
New, Alteration or Extension Per Panel
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$ 35.00 3SJ)o
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ '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
$
$
$
$
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40.00
40.00
20.00
36.00
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