HomeMy WebLinkAboutPermit Electrical 1995-8-23
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IhQ. following project as <ubmrtl~d hah tho H~win
on:ng, and does not r€qulre spe,;ific ~anQ ...~:. I.
225 FIF'rD STREET approve'. 011.' "ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino . !f\'\;r-w q l>\/3'..J{
INSPECTION REQutST: 7Z8;;j~769 'iS~Z2. ,LAc-. City Job Number '-' (')
OFFICE: 726-3759 -~ -(~
Alrthorized ~ig"aturo ~COHPLf.TE FEE SCHEDULE BELOII
1.. iIIilr .A A'-q"O/l-- 9.f ~S'JPtJ.A... TION, . - .
-,-..!QI!lLrJl }Y( ) ~ \JL~) A. ~etl Residential-Single or
,; l1ulti-Family per d"elling uni L
LEGAL .Q;:SCRIPTJON;"'\ Ii ~ervice Included:
. --D.03E- J~\ ~crtlGlJ :: : Items Cost Sum
.lOB DESCRIPTION f7>'. (\ J' .'\r~1Il ii ~OOO sq.ft. or less S 85.00
~ (\; 1\('. ... +-~ \.~ \ '^a.. ) lA..JVt ~ Each addi tional 500
" jsq. ft or portion
Permi ts are non-transferable ar expire il [thereof $ 15.00
if vork is not started vithin 180 days II Each Hanuf'd Home or'
of issuance or if.vork is suspen1ied for [' !Hodular Dvelling
180 days. !Servi'ce or Feeder $ 40.00
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2..' CON'l'RACTOR INSTA1.J..ATION ONLY B: Services or Feeders
III ]nstallation, Alterations
Electrical Contr:actor PJ.HfTPc; or Relocation: .
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Address '1170 Mp".rlnlJ r "np I 200 amps or: less $ 50.00
! 201 amps to 400 amps $ 60.00
Ci ty Eugenp Phone fiRR-6121 '~Ol amps to 600 amps $100.00
i ~01 amps to 1000 amps 5130.00
Supervisor License Number 27195 I Qver 1000' amps/volts 5300.00
~econnect Only S 40.00
Expiration Date_10/QS II i
C' ~emporary Services or Feeders
Constr: Contr. Number 20-179C I lnstallation, Alteration or Relocation
Expiration Date 10/95 I ioo amps or less S 40.00.
201 amps to 400 amps S 55.00' "
qver 401 to 600 amps $ ao.oo
'- qver 600 amps or 1000 volts see "8" above
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Eranch Circuits
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Ovne:-s i
Addres I~~~
Ci ty WC?-.ena- Phone "~I \(1
OlnlER ~~ON 'l41 012.
the installation is being made on
property I o"n vhich is not intended
for sale, lease or rent.
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Ovncrs Sirrnature:
;~~E~-------:-~:-- ~ :[.~ u.::)-~
RECEIPT II: \~ ~~ r ~ ,
RECEI'IED IlY: ",J ~\ :\'\~~ J
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Nev, Alteration or Extension Per Panel
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5~
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cine Circuit
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~ach Additional
Circuit or "ith Service
'or Feeder Permi t
S 35.00 ~
5 2.00 ::l
Miscellaneous (Service/feeder not included)
~Each installation
Prump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
IJilni ted Energy/Res - S 20.00
~imi ted Energy/Comm S 36.00
~UIlTOTAL OF ABOVE ~~ '7.00
~y. State Surcharge J.~~
3% Administrative Fee \ L \
'UOTAL ~~'.'-\. f)