HomeMy WebLinkAboutPermit Electrical 1994-10-6 (2)
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225 FIFTH STREET aDp'c;vol. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ' Zno \....()~ I1A\4\c:::...,
INSPECTION REQUEST: 726-3769 on~ City Job Number ~ ~
OFFICE: 726-3759 DelO/O-tJ,'-A'-f -
. .'.3. 0}ebKPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIW A~hori2ed Slgna,ur
,::?L1;;>,/,"') ?:~;;SO ]>P.. A. New Residential-Single or
-r- Multi-Family per dwelling ~nit.
.~~ ~~ Service Included: Items Cost Sum
JOB DESCRIPTION \1 ..11'2.16 1000 sq. ft. or less I $ 85.00 ED.
MJi'I'Hr 72:a..s~GR \O..'\....} Each additional 500
. - sq. ft or portion J"J '1J\.
Permi ts are non-transferable and exp'lte thereof /~ $ 15.00 ~
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor \\\\rtJ gf'0+Je.L'c..
Address l:l ':-,~) :<,r:C ~2..--t
Ci ty \'Y\r'rirM<" Phone l.\15-dl::SQ
Supervisor License Number J tJDto S
Expiration Date ID-I-q~
Conser Conn. Number 10'9-.")4.:;;
Expiration Date
9-1.) - C\5'
Signature of Supervising Electrician
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- - - -
Owners Name IJ JU/"/)h-V &::,/f:r/;-
Address '1J4~ -5. -:z,;rl:Yl's?/.
Ci ty -<:.>.P-L-71 Phone 7LjLJ-tf,9L6.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
.-
~~~~:~-:~----~:\~l~:\o~-~tJ\~~~-~------
RECEIVED BY: -, ~\ ~
. \
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 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with 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
$
$
$
$
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40.00
40.00
20.00
36.00