HomeMy WebLinkAboutPermit Electrical 1994-12-9 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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1. .'LOCATION OF INSTALLATIQ!i...
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City Job Number
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOY
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A. New Residential-Single or
Multi-Family per dvelling ~it,
Se~vice Included:
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J}lB DESCRIPTION
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Permi ts a~e non-transferable and expi're
if vo~k is not started within 180 days
of issuance o~ if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~ (:\ ~\'td I='J,rtf.&k."
Address I:::l. ~\U ~~ >"-\0.-.
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Phone ~C;-,JJ <,q_
Supervisor License Number _1~fY^ S
Expiration Date I D-I-ql/
Cons t ~ Con tr, Numbe~ I C1 '?--l4-~
Expiration Date Cl-L-./-ti5
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Ovners NameI.lA~.,d 27",/7:' -L'~
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Address "l?'19 ? ~=12_~
Ci ty ~b,. Phone /L)-;'/...,{" ~~
OVNER INSTALLATION
The installation is being made on
prope~ty I own which is not intended
for sale. lease o~ rent.
Owners Signature:
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REC,EIVED BY: ~. '(:Jjti~i--) -
Items Cost Sum
1000 sq,ft, or less \ ~ 85,00 fI;
Each additional 500
sq, ft or po~tion 1- ~
thereof $ 15,00
Each Manuf'd Home or
Modula~ Dvelling
Service or Feede~ $ 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 100u volts
D.
B~anch Circuits
$ 40,00
$ 55,00
$ 80,00
see "B" above
New, Alte~ation or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump o~ irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feede~ Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2,00
not included)
$ 40,00
S 40,00
S 20,00
$ 36,00
US CO
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