HomeMy WebLinkAboutPermit Electrical 1995-1-27
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1//'2-t-1~-4 . I ('A ~h.J..1.AL PERMIT APPLICATION
97477 t/..~ '.'e~ ~,.u
726-3969 ..-rt s\gno1Ul . Ci ty Job Number ~ Lo 4
t>.-,J.nOfU.'T"'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~~;!fN~9~~Sromh1JL
~~~PTION ()~\ ('{)
--
f'\ JOB D~SCRIPTION
'-.&..Ill C\ D f
permits\:re ~on-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 contractorLrld EIfi:bjL
Address ~O S)D)C.\Olo,
City 5v(-'V\.J~ .eld PhonelIk-4'3D~
Supervisor License Number l..{" -" S
Expiration Date lolljqC")
Constr Contr. Number ~5(P61
Expiration Date
~
o~~m t
,00 f\ 0, (\ ~.ili: .
6 ..Q,~ \ ntJuP 1tL
City EuqQJ'lL Phone\o~.340l
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------IJ-----~----------------
DATE: /, Z 7/ i5'
RECEIPT I: . /Cd.2 r, .
RECEIVED BY: -fo:~-
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular:Uwelling
Service or Feeder
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
Items Cos t
Sum
-iL
,Q
$ 85.00. 1JD.
$ 15.00 00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch circuits
[ $ 40.00
$ 55.00
$ 80.00
volts see "B"
1-{)
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E. .
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
c?4-fJ. CO
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