HomeMy WebLinkAboutPermit Electrical 1994-10-21
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:, 726-3769
OFFICE: 726-3759
I. Lo,CATION OF INSTALLATION n n
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\~ ~~CRIPTION (\~~tfl_
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JOB DESCRIl");ION \<1..1"\\ ~
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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 L7~5~c7'"
Address 4f:f- 3..)-../ /?c 6-,?-<&>- #...../
Ci ty 5'//"-7;; Phone r.7'd: srf{;?--
Supervisor License Number /f7(J
Expiration Date
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Constr Contr. Number ;>;7~;r~
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Expiration Date /cP- 7".r-
Si~turJ'Of Supervising Electrician
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~'Wners Name ~\ t ffi S-\-_~ i \\ 0
Address~C\~ ~ W_~'\m\ t(\
City ~ Phone "l4l.b\ao
O~ I~TALLATION
The installation is being made on
property I o'Wn 'Which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
City Job Number eN I 677;
3.
COMPLETE FEE SCHEDULE BELOII
A.
Ne'W Residential-Single or
Multi-Family per d'Welling unit.
Service Included:
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Sum
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Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular'D'Welling
Service or Feeder
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$ 15.00
$ 85.00
$ 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 "B" above
D.
Branch Circuits
"
"
Ne'W, Alteration or Extension Per Panel
One Circuit
Each Additional
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
$ 36.00
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