HomeMy WebLinkAboutPermit Electrical 1995-9-12
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225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQuEsT: 726-3769
OFFICE: 726-3759
1. ~~O){~
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ELECTRICAL PERIlIT APP~tTION l
City Job Number C\ \ ~
3.
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are n
if work is not
of issuance or
180 days.
(L~ n(\J......
-transferable ~ expire
started within 180 days
if work is suspended for
2. CONTRACTOR INSTALLATION ONLY
-~.5
Electrical Contractor '-' 4
Address 'P.O, 6Jx 1+l!b"Z-
Ci ty""'5PFD Phone 74/- 22,,:>c,
Supervisor License Number /~ 8t<D 5
Expiration Date /0/ I/".{.
Constr Contr. Number ,~~~~
Expiration Date ~~~
Signature of Supervising Electrician
/2~_/L//-?~#
~rs Nakl~ ~~ ". )
Address '_oS<6 'Sf) Q\~
Phon;-{41o. <6(011
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OIINER I STALLATION
The installation is, being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~~~--------------"--q-:l7..~~ -
RECEIPT II: ., l "tS;'-\l..\. "\
RECEIVED BY: '1' 'V~ """" /
1000 sq.ft. or less
Each additional 500
sq. ft or'portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
It ems Cos t
Sum
$ 85.00
$ 15.00
c!1
eo
$ 40.00
$ 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
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ,
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
A
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.CP
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