HomeMy WebLinkAboutPermit Electrical 1995-9-13
'The followilia projec. as su mn 6 ... ~
zoning, and does not require specific land usa
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225 FIFTH STREET z 'a L U ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 onlO, fIr;::;;...,
INSPECTION REQuEsT: 7'16te376r;; 11 ~ t\ I Ci ty Job Num~er ~/
OFFICE: 726-3759 Authorized Signature /\1 M_
~ . ~L.l!.i.r. "FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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../"JOB DESCRJ,trION c-.z, / /
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are non-transferable and expire
if work is not started 'vithin 180 days
of issuance or if work is suspen~ed for
180 days.
Sum
Items Cost
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 $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor ~ n~c.50fL E/ectr,~ I k(., or Relocation:
Address 'P.O. 8()'X ,17
q'tw -5~48
3'1 J 1 S
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Co~stl Contr. Number q'jCfO ~
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Ci ty. Jondion r.ibj " Phone
Supervisor License Number
Expiration Date
Expiration Date
Signature of Supervising Electrician
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Owners Name t.n~,,,,J ,;;>Gooo~~~~~-(
Address p~~y ~~ '
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Ci ty E ~~ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
'''RECEIPT #:
RECEIVED BY:
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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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~ $
--
$ 35.00 ~~
2.00
..
Miscellaneous (Service/feeder not included)
-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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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