HomeMy WebLinkAboutPermit Electrical 1994-1-1
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SPRINGFIELD
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225 FIPTH STREET
SPRINGFIELD, OREGON 97477 OMe
INSPECTION REQUEST: 726-3 7~8therlzed Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPT~
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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 License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name .%/fx)JrC:;~Pp~ D.
Address /16-." A5/?&J
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Ci ty Y::;,lZl Phone 72.& -,/~S" 1-
OVNER INSTALLATION
, " The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT 1I:
RECEIVED BY:
ELECTRICAL PERKIT APPLICATION
i)~ City Job Number
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3. COMPLETE FEE SCHEDULE BELOII
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A. 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
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
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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 1000' vol ts
Branch Circuits
$ 40.00 ~s~
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 35.00
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
$ 2,00
not included)
"
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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