HomeMy WebLinkAboutPermit Electrical 1995-9-28
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The following project as submitted has the following
lonlng, and doss not require epoeMlc fend UIl8
approval,
Zonino .~ \1 R-
97r7~~ C\ - 'd5b-L\ 5 n ELECTRICAL PERMIT AFPLICATIO~.If
7~tlll9I SIgnature -t' ~, ~i Job Number C\. COffin
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759' '
l.l QOt~O~\~~relI^ ~.
\,LEA~~N O\~
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if work is not started within 180 d
of issuance or if work is suspended
180 days.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home, or
Modular 'Dwelling .
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
-nQ^t/~A~nstallati?n, Alterations
Electrical Contractor ~ ~~r Relocatlon:
Address ~3~ lui\rjJJ(~OO amps or less \
(\. ^~I.~nn 201 amps to 400 amps
Ci t~ Phone 401 amps to. 600 amps
~ 601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
l[) \ Reconnect Only
Expiration Date ,_' .
Constr Contr. Number I n~~--r-7
Expiration Date \ \ .\.CB
of Supervising Electrician
\ '1~ L y~ _
wn rs N:m~ 1t J(\() (\ ~ CD/D- D.
Address~t.\t)'f\ \~ Lk~ f) w)
'city ~ _ Phone.J16~-
OVNER \N~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
~2f)~~-~---
/ f\\1' ')
$ 50.00 ':f!l:)
$ 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 o~ 1000 volts
Branch Circuits
$ 40.00
S 55.00
S 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit S 35.00
Each Additional
Circuit or with Service '1\ .
or Feeder Permit ---'- S 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
S 20.00
$ 36.00
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