HomeMy WebLinkAboutPermit Electrical 1996-1-15
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SPRINGFIELD
The following proJect as subm~ted h3s the followi
zoning, and does n.:)t roquire sp6Clflc land use
approval.
225 FIFTH STREET Date
SPRINGFIELD, OREGON 9747Authortzed
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
; f City Job Number ~ ~t9?2~
3. COMPLETE FEE SCHEDULE BELOII
1. LQCATION OF INSTALLATIOI:!. .
-;>~7'7 7VW~t:A-s ~-
LEGAL DESCRIPTION
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JOB DESCRIPTION
~/ ; P'AW?AR
Permits are non-transferable and expire
if york is not starte~ vi thin' 180 days
of issuance or if york is suspended 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
Ollners Name ~,.13) n.J,;-;'
Address ~'7'5' ,J: "~2~ 57'
Ci ty S"./~, Phone ?#-'6J'~
01lNER INSTALLATION
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The installation is being made on
property I ovn IIhich is not intended
for sale, lease or rent.
Owers Signature: V
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RECEIPT I:' r /,?qff!,~N
RECEIVED BY: ' . ~
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dvelling
Service or Feeder
,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
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
c..-- $ 40.00 ~
$ 55.00
$ 80.00
volts see "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
"
$ 2.00
not ineluded)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
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$ 40.00
$ 40.00
$ 20.00
$ 36.00'
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