HomeMy WebLinkAboutPermit Electrical 1995-3-14 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
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')-\l.-1~~~ City Job Number Qc;O"3l-?......-
tl . l""-' 3. COMPLETE FEE SCHEDULE BELOY
1. LOCAIION ~ INSTALLATION
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;,tc: LEGAL D1SCRIPT19N ~ fl. ^
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\ JOB DESCRIPTION '? f :V"\
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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. CONTRACTOR INSTALLATION ONLY .B.
Electrical contr~/d?rIJ,L 15 L{)/~ .
Address 1'5 b w I 6
City 8..... <'~ Phone {; 83~7077
superviso{ License Number . ),B-/VY
Expiration Date /()~ 9:;-
Constr Contr. Number--://)Gl'~ (O};b77C'
Expiration Date I ~ '9 {,
Sign~turff s~ectrician
-~ ()
Owners Name PAD LA- D.
Address ;);L '7 ~ j)<!...--G /LA-
Ci ty S {J fL "-l t Phone 7cfY~ (<./ <( ~
01lNER INSTKLLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~E~-----~-~r4-~q-~------------------
RECEIPT 11: 1 fo to 0 I
RECEIVED BY: {f:.v. . '"
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
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
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
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
One Circuit $ 35.00
Each Additional
Circuit or with Servic~
or Feeder Permit ,.J $ 2.00
10,60
"
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE (oo,rJi)
5% State Surcharge ~, 6U
3% Administrative Fee 1. '{U
TOTAL ~