HomeMy WebLinkAboutPermit Electrical 1995-8-30
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 O,\o---NfA-
INSPECTION REQUEST: 726-37~,~Otlled s\gna\\Jre_
OFFICE: 726-3759
1. LOCATION OF INSTALLl\l..ION
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LEGAL DESCRIPTION
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JOB DESCRIPTION. ,
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or'if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t)e\~ ~\p~~, ~\~,
Address 185(') ~i(\G, e-L,
Ci ty I:::~~ Phone !;/../~()6b;
Supervisor License Number 5<.0/2:::;
/0/0/ CJ5
Constr Contr. Number (tl. 97R03
3/28/y(.,
1 1
.. . 'Sighature "of Supervising Electrician
Expiration Date
, Expiration Date
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CHy \nQ\',Q'1I~~ . .
OIiNER INSTALLAY~ 6\~~~-
The installation is being made on ~ E.
property I 'ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~E;-----~~~~~-CJ[-~-~-~~---------
RECEIPT 11: ~ .. ---' . , )()\ vLL
RECEIVED BY: C ~C.-/ ~ - ~ I
9-5 1090
ELECTRI~AL PERMIT APPLICATION 7\
City Job Number ~\rf1( )
3. COMPLETE FEE SCHEDULE BELOI/
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 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 liB" above
Branch CJrcui ts
.'
Nev, Alteration or Extension Per Panel
One Circuit J $ 35.00 ~O
Each Add it i onal
Circuit or vith Service
or Feeder Per'!'it J!:t- $ 2.00 ~
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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I.XVI
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