HomeMy WebLinkAboutPermit Electrical 1994-5-17
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225 ,FIFTH STREET Date <, -I i -q ~
SPRINGFIELD, OREGON 9747~~s, at tJ .M.
INSPECTION REQUEST: 72ff-JTlJ~- - 'Iln ure
OFFICE: 726-3759
1. !-Q~TION OF INSTALLATION "'-...1
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LEGAL DESCRIPTION
f?"W!?/I-Z;Z~ ..e>~~
fi' JOB DESCll!.PTION
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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
Address
City
Phone
, Supervisor Licen.se Number
Expiration Date
Constr Contr. Number
Expi'ration Date
Signature of Supervising Eiectrician
,i: owners Nllf1e ~, E~/_~~#
Address~ "3 ,/7'~":::""-'-="""'" ~ .
City ,(.h:;~~ Phone ~ ~2.
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,,"'~II~ INSTALlATIln("'- ,
The installation is being made on
property I own which is not intended
for sale, 'lease or- rent. '
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DATE:
RECEIPT I:
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
"Hy'Job Number '9~~5'96
3.
COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti~Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft" or less $ 85.00
Each additional 500
sq. ft or portion
thereof. $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or ,Feeder $ 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 ~$ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amp?, or 1000 volts see "B" above
D.- Branch Circuits
New, Alteration or Extension Per Panel
'One Circui t
Each Additional
Circuit 'or with Service
, or Feeder 'Permi t
:,
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or, irrigation'
Sign/OiltlineLighting
Limited Energy/Res
Limited Energy/Comm
not included)
5,.
SUBTOTAL OF' ABOVE
5% 'State ,Surcharge
TOTAL ' '
$ 40.00
$ 40.00
$ 20.00
$36.60
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