HomeMy WebLinkAboutPermit Electrical 1994-8-1
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"The. following projoct aa lubmftted hlIlllhe followln
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225 FIFTH STREET
SPRINGFIELD, OREGON 97471-onlng L;/)/J,
INSPECfION REaUEST:D.t626-~6p_~L[
OFFICE: 726-3759 I
Authorized Signaturu
LOCATION OF INSTALLATION
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ELECTRICAL PERKIT APPLICATION
City Job Number C\ L \ \ \ ~ l
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COMPLETE FEE SCHEDULE BELOII
1.
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LEGAL DESCRIPTION ,"
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JOB DES.cRIPTION
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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. CONTRACfOR INSTALLATION ONLY
Electrical Contractor A.d~ F ?'t-EG
Address 5' J/ /
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City J/'/~
Phone 7~ C70/
Supervisar License Number J(7)..:J 5
Expiration Date ere::T 75
Cons t r Con t r. Number 9 :2-S"0 j{"
Expiratian Date ?~ Y9.5'
Signature of Supervising Electrician
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Owners Name ,-cP-1/ r/AA/,4
Address J jOa P/-(';:-iOJ'AIV/
Ci ty 5 jO /t:.(}
Phone 7.2J: r:;). 2. 7
01lNER 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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RECEIVED BY: . . r ~~"'\ --; .
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home ar
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
Sum
~200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps ta 1000 amps
Over 1000 amps/volts
Reconnect Only
/ $ 50.00 )c<OO
$ 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 100u valts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
, One Circui t .:;;;;;t:' $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t J2- $ 2.00 K C/ 0
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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