HomeMy WebLinkAboutPermit Electrical 1998-8-5
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zoning, and does not require speclftcland use
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Date~f1-L
225 FIFTH STREET. AUtbortz !d.~ n YV\ .
SPRINGFIELD, OREGON-~T~7 . I \
INSPECTION REQUEST: . 726-3769
OFFICE: 726-3759
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1.
iCSTlJ( OF Fflnac:
/ 7o~frgreJ I DO I
JOB DESCRIPTION
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EXPir~te
Constr Contr, Number
f
Expiration Date
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" S~g;i1'a ture of Supervising Electrician
Owners Name ~r -lrrr- Sf\J fj,;-VL-
Address 5 -; ~o; Jryl/~ V S i _ :it Irr-
Ci ty So.~l/{J fti Phone 7 L/ 1,- )c;11
~~RI<<fTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent,
Ovners Signature:
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RECEIPT #: ( I ( ) ~~ (51<-( y
RECEIVED BY: i2 'Y//1 -1....1 '
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q? () 5 &; V
3.
COMPLETE FEE SCHEDULE BELO~
Cost
Sum
$ 85.00
<66/OQ
50-00
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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" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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 -LiS" () D
5% State Surcharge :5 ' 7~
3% Administrative Fee .3- 45;;.
TOTAL J J-lf~ .L 0