HomeMy WebLinkAboutPermit Electrical 1995-9-6 (2)
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SP.tlFIELO
The. following project as submitted hes the follov. ...
zomng, Rnd does not reqwre spec,me land u"'o
approval. ~
Zoning L-[)2..
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726.JM1~zed Signalure tJ M
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCAT]ON OF INSTALLATION
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LEGAL DESCR}PTION
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JOB DESCRIPTION
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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
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Conlr. Number
Expiralion Date
Signature of Supervising Electrician
Owners NameqLJ,t;. / ~i( p/~1
Address /5/.4 7J 1A-h41'111 :M
City ~n Phone 7.f/-lJ3~S"
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O'Jn~r} S}4ure:
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RECEIPT 11: ," :' ;..-i:'~ /ft:-'7::LS
RRC:F.TVF.O AY: A'#~
ELECTRICAL PERMIT APPLICATION
City Job NUJllber 9S//P,'1
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I terns Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
S 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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installa~ion, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80:00
see "Btt above
D.
Branch Circuits
,,'
New, Alteration or Extension Per Panel
One Circuit I--- $ 35.00 36:-
Each Additional
Circuit or with Service
or Feeder Permit j $ 2.00 z.~
E. Miscellaneous (Service/feeder not. included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE .<,7,()()
5% State Surcharge )f~.F
3% Administrative Fee /.11
TOTAL . :;; '7.96