HomeMy WebLinkAboutPermit Electrical 1994-11-18
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The following project es submlttod has tho follow!
zoning, and docs not requiro spectflc land use
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina eM q) (I A-o 3
INSPECTION REQUEST: 726-3769 I~ L' City Job Number ~ /'7_
OFFICE: 726-3759 Data 11- D --,4-,
Authorized Slgnat~n.t tJ M.-
1. LOCA:I'ION OF INST4L~TION '"
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LEGAL DESCRIPTION
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JOB pESCRIPTION
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Permits are non-transferable and expire
if IIork is not started 'wi thin 180 days
of issuance or if,work is suspenaed for
180 days.
2.,- CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
.
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Ollners Name Jtt,,, llVy\,tVl ~.DJLev
Address In itl I2-Nf'./ltJ\L\ br
City ~te-\ Phone) L) trip 113
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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?1lATE: II ~ IX" -'1_ 9J9 '
RECEIPT ff: 17,>5
RECEIVED BY: (JAA.A^~'
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
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 $ 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 $ 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 UBI! above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 7
$ 35.00 ~1J.CV
$ 2.00 LJ.DD
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
S 20.00
S 36.00
'2{1.m
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),17
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL