HomeMy WebLinkAboutPermit Electrical 1997-2-24
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appro':al. ELECTRICAL PERMIT APPLICATION
97477 Zonina (C/ q 7() 'I </'1 J
726-3769 ,.., ____oJ /} Ci ty Job Number do- ~ '-1
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Authorized s:gnature 3. (V(MPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
/.J.f:G,hIryDf:SCRIPTION
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JOB DESCRIPTION
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1
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Snn; trol Secur; ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
SupeL'visor License Number /6/?1 ;?ET
Expiration Date
/t)- j- qq
Constr Contr. Number 65149
Expiration Date -tr ~
) 7 - 2.OtJO
Sign~~~g Electrician
Owners Name (;; 6 !fen+r1 /
Address :<amp
Ci ty Phone 72~ 1811
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
Eor sale, lease or rent.
Owners Signature:
~~~~~--------~~~1112?-~~-----------
RECEII'T ~: 1 D .L l;j(Jr f ,7
RECEIVED BY: 'f (fh t/- .c..
\
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
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "Bll above
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy /Res ~ $ 20.00
Limited Energy/Comm j $ 36,00 ~/~P.D
5. SUBTOTAL OF ABOVE 30=
5% State Surchuge /8'0
3% Administrative Fee /03
TOTAL :?p; ~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit