HomeMy WebLinkAboutPermit Electrical 1995-8-1
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225 FIFTH STREET ZOning-!^. ~
SPRINGFIELD, OREGON 97477 R..-\..t1j?'
INSPECTION REQUEST: 721jl~3'769- - ~
. OFFICE: 726-3759 Aulh"riz.<.-dSlgn,.turo .
, 3.
1. LOCATION OF IN~T4LLATION
2".7 c: r.Y1<~A'~(7
LEGAL DESCRIPTION ..-/
/,-;7/J 7 2 ~r T 2.. D/ /" ChJ
JOB DESCRIPTIOp
~J?ftI.) /-- r AI ~ G-.L-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
l80 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contl'acto~o ~k <C~
Address \~~ ~<1~iI~ .
Ci ty <i l "'C\tf\Q _ ).),one ~ \
Supervisor Li~ense Number 3C\\tS '
Expiration Date \n'\'~S
Yl ~03
(). ?_~'~\n
Constr Contr. Number
Expiration Date
Signa(1~er:Al:~
Owners Name
, (
Address
City
Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
tor sale, lease or rent.
Ovners Signature:
DAT~~------~~~~~---------------
RECEIPT #: t' ~7~
RECEIVED BY: r --.<;
ELECTRICAL PERMIT APPLICATION
Ci ty .Job Number
7' S""t!J ')1' /
. '
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-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 Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80~00
volts see "B" above
D. Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit ",.. $ 35.00 -3S-
Each Add it i onal
Circuit or with Service
or Feeder Permit -=I!L $ 2.00 C;~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
--L3~ ,<K>
,::..~~
-':i. $'<;'
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