HomeMy WebLinkAboutPermit Electrical 1995-4-3 (2)
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SPRINGFIELD
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The following ~lol.clllS QU. ~. land uee
~ :i Ov63 not require ep8Cll",
225 FIFTH STREET zc,',ng, an' ELECTRICAL PERMIT APPLICATION
4p,proval.
SPRINGFIELD, OREGON 974/I L-DiZ
INSPECTION REQUE'ST: 726_376~onino , r..--
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OFFICE: 726-3759 D('rt.4'~~-'\'
1.
LO~~,ON OF INt:;.LA'1JHJNZed Signalur.
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LEGAL DESCRIPTION
/76) 3 24 l!J'n
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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,vork is suspenaed 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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Ovners Name ?J:"6TtfrtY. /-9~
Address 24/eJ {'AI:. \t,<<.tu ~ ,
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City ,Euc. Phone~S'-1Wfi,
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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DATE: 4-,O"--ct "\ r..
RECEIPT jI: b\~ -Un~-<{, t
RECEIVED BY: - -
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City Job Number
7'~z54
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COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Items
Cost
Sum
1000 sq.ft. or less ~ $ 85.00 ~e>o
Each additional 500
sq. ft or portion /~o
thereof ;f $ 15.00
Each Manuf'd Home or .
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less V' $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100U volts see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
ar Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
not included)
5.
$
$
$
$
'3-3D. ('X)
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'7- 6. ~o
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL