HomeMy WebLinkAboutPermit Electrical 1995-1-1
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SPRINGFIELD
The following proleo! eo Gubmttled hostho folio',',;
zC:"IinO, and does not require spcchjc I[.n(: U:3
approval.
Zoning
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225 FIFTH STREET
SPRINGFIELD, OREGON 97;'7~~e
INSPECTION REQUEST: 726",~Z.,(!~led Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
59~ 6}Ak.JALE
LEGAL DESCRIPTION
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JOB DESCRIPT)ON
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
~ Signature of Supervising Electrician
Owners Name iJ'to^,~~~.r
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Phone '12.(P --/ '1/1
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Address2/" ?(;;
City ~
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
ovnytSlSignjture:
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---------------------------------------
DATE:
RECEIPT ~:
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ELECTRICAL PERMIT APPLICATION
~ () Ci tv Job Number '951 ~c.
3.' COMPLETE FEE SCHEDULE ~ELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to ;'00 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less '-- $ ;'0.00 ~.~
201 amps to 400 amps $ 55.00
Over ;'01 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "S" above
D. Branch Circuits
.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscel1aneous (Service/feeder not included)
-Each installation'
Pump or irrigation $ ;'0.00
Sign/Outline Lighting $ ;'0.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~."'"
5% State Surcharge ' ~~
3% Administrative Fee ("'~
TOTAl. 43,""'"