HomeMy WebLinkAboutPermit Electrical 1995-7-21
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SPRINGFIELD
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The fol/owing project
laning, and does not ~:qSUbmit1ed h.s the fol/
approVal. Ulre sPecific land Use
225 FIITH STREET ID ELECTRICAL PERKIT
SPRINGFIELD, OREGON 97477 Zoning V/!-,
INSPECTION REQUEST: 726D3f/J6W-7 i-~{ -.0
OFFICE: 726-3759 A h '
ut or/Zed Signature~ COMPLETE FEE SCHEDULE BE LOll
1. LOCATION OF INSTALLATION
i2lS Sey,~G/ --=:. } A.
I; O~ D~~PTIOi't Od-.C1 tJD
JOB DESCRIPTION
IfJl..AJ1.. ~~ k <>- ~ r,:,. . ~
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Permits are non-transferable and expire
if ~ork is not started '~ithin 180 days
of issuance or if ~ork is suspenaed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
OREGON maR!( SERViCE
Electrical Contractor
Addl'ess Po /?'r>><-~~""'-")
Ci ty b 10.------"- Phone~t/:?, I foCX'1
Supervisor License Number ~'1~ ~'\
Expiration Date . q -q",
Constr Contr. Number ~..j(nC>
Expira tion Date /0 - qS
Signatfre of Supervising Electrician
7~Mt,~ '-
O~ners Name.... furl"1 ('''' U I .U,-
Address .-<:'G IN\.o
Ci ty ~
PhoneJ<t1 -10-;;::'(....,
OllNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
~ers Signature:
----------------,rr.,PT------------------
DATE:7-2 1-..1~. .
RECEIP'f 11: 11 I'll ~/ n
RE~EI~D BY: f1...J u.-.- . (I ~
Ci ty Job Number
~sCt~>~
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
uni t.
It ems 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 D~elling
Service or Feeder $ 40.00
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 S 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
$ 40.00
$ 55.00
$ 80.00
see "B" a~
D. Branch Circuits
Ne~, Alteration or Extension Per Panel
One Ci rcui t I
Each Additional
Circuit or ~ith Service
or Feeder Permit
S 35.00 ~'S ~
$ 2.00
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
~~--
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\ o~
."\) '$'0
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