HomeMy WebLinkAboutPermit Electrical 1994-7-18 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
JOB DESCRIPTtON Scl+lt...../1-l-..1Q,.,) ~~.
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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 t.Bn-l~ ~
Address ~\.aloZ1o ('0 D~ \\ ~lli
Cit~~'O Phonel~
Supervisor License Number ~~~
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Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
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Owners Name1/72.. 4')-::' lO.)"'}) .
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Address
City Phone
OYNER INSTALLATION
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:' 7-/ft-~
RECEIPTlI: . / ~ rc;,-c.
RECEIVED BY: A!:k!~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q./-/ t:>~
3.
COMPLETE FEE SCHEDULE BELOV
Cost
Sum
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
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:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
1(X)~
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
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 ,
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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
One Circui t
Each Addi tional
Circuit or with Service
or Feeder Permit
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