HomeMy WebLinkAboutPermit Electrical 1995-5-15
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The fOllow' .
Zoning Q 109 project as
225 FIFTH STREET .pprov~/. nd does nor req~~~mlttod has the! IIE~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 · sPecfflc land u~.owmg
INSPECTION REQUEST: 726-37w>ning L O,?? City Job Number 9?~2~
OFFICE: 726-3759 D.'e & I)"--;:f ,-
,-- '22 3. - COMPLETE FEE SCHEDULE BELOV
1. LOCATI9N OF :r;NSTAI1J\'h:ew Signature kh...
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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. CONTRAcrOR INSTALLATION ONLY B.
Electrical contractor~ 8bQ~"t~11I \\1iM...,
Address p.O.~. 14~1-J
Cit~~~,~.rL Phone '14/-1.1,3fn
Supervisor License Number II, Sih,~
Expiration Date 10-1-<15
Constr Contr. Number O~'2t./,~
N~w 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
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
50,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
q-I-Q!,)
Signature of Supervising Electrician
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o:;:rs'Name~~rl" t'D~,
Address b50 Ru:rt~'l ~ ~ (\ ) ~ l\..> .
Ci tY,4J\1 m~t/" ~ nlLPhone.11...4- - () ."ltJ.1l
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT It:
RECEIVED BY:
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i
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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