HomeMy WebLinkAboutPermit Electrical 1997-1-30
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97~-':7;rbd Signature
726-3769 ------
1. LOCATION Of, I~(TALLATION
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LEGAL DESCRIPTI9N
1/ D 2, ~.t3 ,,? / / /3000 Rr
JOB DESCRIPTION IN .
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Permits are non-transferable and expire
if vork is not started vi thin l80 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 5~e..e:::.
Address PrO,80x l'r-'b
City ~xme g7l\3\ Phone 74Ho097
Supervisor License Number 409 ~ - 5
Expiration Date lo-t-A~
Constr Contr. Number Qb'2..'Lo
Expiration Date ;:?- \l\--qh
Signature o~ ~g
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Owners Name LI+Y1OAJs
Electrician
Address<.. ,,)()'S
Ci ty--Sf? t?_
8/4 i --M-U D.
A G1ie5-r
Phone 74 -'7; c;Lf/ J-...
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~i~-I'~~i):-~-~--------------------
RECEIPl if: rJ:J..t.r7'J--f /
RECEIVED BY: r;, ri1 Nt" /JJ~ ()
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ELECTRICAL PERMIT APPLICATION
Q-?~ Ief. tj. .
':' .ty Job Number I / I
3. COMP~TE FEE SCHEDULE BELOV
A. New Residential-Single or
Mult i-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ l5.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
.B. Services or Feeders
Ins talla t ion, Alterations
or Relocation:
200 amps or less
20l 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
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
20l amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOO
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
vol ts see "B'~' a\lOve
"
New, Alteration or Extension Per Panel
One Circuit -L $ 35.00 3~"'-
Each Additional
Circuit or with Service ~ ___
or Feeder Permi t I $ 2.00 c--
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
not included)
$ 40.00
$ 40.00
S 20.00
$ 36.00
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