HomeMy WebLinkAboutPermit Electrical 1995-3-28
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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I'\JOB DESCRI!::N ' .A-.
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perm:t: are non- ransferable and expire
if work is not started within 180 days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION 'ONLY B.
Electrical contract~~ \~ rlod
Address(J1(\\ ~~~~
Ci ty YJ. Y10 NL Phone~t6. m~a
Supervisor ~icense Number ~
Expiration Date \0. \. C\S-
Constr Contr. Number~"':A2..C\l..9-- C.
Expiration Date \IA . \0 .C\Lt
Signature of sup~ising Electrician
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Owners N;~ )~~ 9Q1) . l' _ D.
Address~ffi \~j?'tl_hd~.QJ JIJJ?-,
Ci ty _ <;: 0 Yff fQ... Phone ~A~ . 01'6.3
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
OvnersSignature:
--------------~\j- ", ----------------
DATE: ~. lt9.G\ )
RECEIPT 11:. Ii O'\l\"t..:-J. )
RECEIVED BY: .. , iJ'l.L:XyJ
ELECTRICAL PERMIT APPUCATION
City Job Number C\4-'A'llp
3. COHPJ.JITR FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular. -Dwelling
Service or Feeder
$ 85.00.
$ 15.00
$ 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
Reconn<::ct Only
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi~~
or Feeder Permit ~~'L-
$ 35.00
$ 2.00 lA.
E. .
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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