HomeMy WebLinkAboutPermit Electrical 1995-5-31
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225 FIFTH STREET ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number <9~~"5'
OFFICE: 726-3759
1. LOCATION OF INSTALLATION '-
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LEGAL DESCRIFTION
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, JOB DESCRI~ION
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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 INSTALLA~N ~y
Electrical contract~,~
Address sif/..1..... tvJ~
City Fr; - -U>C71. ' Phone_6<C~~~)l:>1'
Supervisor License Number ~ 7~-~
Expira t ion Da te / {)-/- p'5
Cons t r Con t r. Numbe r d-o -/ 9 -C-
Expiration Date /0-/-7'.:5
SiI'~ ~:U Electrician
Owners Name ' /~E ~:~ y
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Address ~ C~./':.,,?( ~
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Ci ty -'7;-,/-LZ)
Phone 7.l/~~~e:>y
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~
DATE~---------~~-~~~-~-----------
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RECEIVED BY: /' ,/ _.-? - ,_
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3. COMPLETE FEE SCHEDULE BELOIl
A.
New Residential-Single or
Multi-Family per dwelling 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'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 Onry
---
$ 50.00 .2i:Z:.~p
$ 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 or 100U volts
'"
$ 40.00
$ 55.00
$ 80.00
see "Bn above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
E.
One Circuit .$ 35.00
Each Additional
Circuit or wfth Service
or Feeder Permi t ---'L $ 2.00 :::;?;?. c-t>
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightinp- $ 40.00 ,I
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE 7:::? --7""~ "'-,- ~.o
5% State Surcharge ,. CP_ .:r_ - t...
3% Administrative Fee ~- {.,.ao .'9~
TOTAL --" "7"-
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