HomeMy WebLinkAboutPermit Electrical 1995-5-23
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225 FIITH STREET Zoning l,.D~
SPRINGFIELD, OREGON 97 4 77D~I'3 5.- 2..) '-1.('
INSPECTION REQUEST: 726-376~
OFFICE: 726-3759 Awlhorized Signature
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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oJOB DESCRIPTION 1.\ II
h~fU ) J\flC\t ~l\M\r "15 KW
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 contractorW p~1) ~ (\ 'I~'
Address P.r>. U IJ~~ '
I
Cit~f(\j.~f()~n\. ) Phone 14l-1~~b
Supervisor LIcense Number 1 b ~ Ie 8
Expiration Date 10-1 -q 5'
Cons tr Con tr. Number 0 ~ rx 4 q
Expiration Date q-l-qS'
Signature of Supervising Electrician
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Owners Name KunJ ~Ntd... ,
Address Iq~:1 4, ~.
City~~m~~"o~d l Phone~-O~/1....,
0\lNER INHALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: ~ 2JA-S-
RECEIPT #: /?dC;,%fi-r-~ _
RECEIVED BY: . I .#'v-l....
ELECTRICAL PERMIT APPLICATION
City Job Number
95e~ 7S-
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3. COMPLETE'PEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
ServIce or Feeder $ 4q.~ 00
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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 Rel&cation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 ;35'.00
$ 2 . 00 3.. .00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~1"". 00
I. 'BS
I. II
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