HomeMy WebLinkAboutPermit Electrical 1995-12-13
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
ELECTRICAL PERMIT AFPLICATION
City Job Number . ~tr)\l~
3. COMPLETE FEE SCHEDULE BELOV
1. A~ATIqN q.uNSTf~~,
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
l80 days.
2. CONTRACTOR INSTALLATION ONLY
BILL'S'ELECTRic'
3170 W 11TH AVE
EUGENE OR 97402
SUPERVISOR L1C, #980S
. EXP, DATE 10/30/95
CCB #21351 .
EXP. DATE 4/28/96
Expiration Date
Signature') on ~ervis' g
~~ LJ' (/
ovner: Name R\~-O~
Address ~. t\)~ \.~~~ ,
City~OO Phone f4.4 .~'L1o~
OWER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------------------~----------------
DATE: /2.// ,/rr
RECEIPT II: . /'1 W1/.
RECEIVED BY: ff~_
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
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
uni t.
Items
Cost
Sum
$ 85.00
B5-
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i
$ 15.00
$ 40.00
$ 50.00
$ 60.00
S100.00
$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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
"
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
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40.00
40.00
20.00