HomeMy WebLinkAboutPermit Electrical 1995-6-27
Thei following project as submntoo has Ihe folk'w'ng
zon ng, and does not roquire specific land uso I
approval.
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225 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9741]<'l.orlzOO Signature
726-3769
NM
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LEGAL DESCRIPTION
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;.,...."JOB DESCRIPTION I
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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 .B.
Electrical Contl'actor D.e.! '5 Fjfcb1c...
Address7Jtfl7 va.lvlP--- .
CitY~IAL Phone leC{g-Y}J1
supe~~::or' L~ense Number ~.)
Expiration Date iO....I-10
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Constr Contr. Number l7D 0
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Expiration Date
Signature of superv~si~ Electrician
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Owners Nam~ '..p~ ~Md CJ1I!l~
Address ?jY; r:-. 'Sf- <#:- Cj . _ /
City ?i>p-k) Phone 7 41-7'u;-
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
--------~-----------------------------
DATE: (/7,27-'1?'
RECEIPT 11: f fr cJ UJ '1
RECEIVED BY: f J-i;"v"l 9.:
ELECTRICAL PERMIT APPLICATION
"~~J Job Number q t/I fla '3
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
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
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less (
201 amps to 400 amps I
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 ?O.6b
$ 60.00 1.1l /J')
$100.00 ~
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t '1./
$ 35.00
$ 2.00<P~
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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