HomeMy WebLinkAboutPermit Electrical 1994-8-5
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approval.
. Zoning LJ - -r;
225 FIFTH STREET v ~
SPRINGFIELD, OREGON 9747Jlela 0''.5-'1'-{
INSPECTION REQUEST: 726>13tMlkad Signarura 0 /Y'--
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permi, ts 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
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Owners Name~~~./~~-,~
Address S"c;--~ .I'~.... I_A ~. ~,c. ~E
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Ci ty ~n ~. Phone.JK'.yY~?/
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01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
2ers ignature:
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DATE: ~ -ir"--"'7 cr
RECEIPT jI: - l'r::;!r;z. ~
RECEIVED BY: ~j'~_
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number "7 c/c:> "%'0
3. COMPLETE FEE SCHEDULE BELOIl
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
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 /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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
E.
One Circuit $ 35.00
Each Additional
Circuit or with Service
,;/ co._
or Feeder Permit ~ $ 2.00 7~.
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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