HomeMy WebLinkAboutPermit Electrical 1999-8-27
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIFTION .
(7b'3 353'2.. 1)2700.
JOB DESCRIPTlpN
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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,
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor R~Yro]J~ r:; I e<J'(,C
Address ;>...11 r LA) "2...J
City lS(lS'..he. Phone '3,1.('::,'" 72. c17
Supervisor License Number 1-<;'20 5
10/0//0\
Expiration Date ..
Constr Contr, Number 20 -' f55 C,
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Expiration Date
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Signature of Supervising Electrician
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Address
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7'f'f- {,3;J..1
City ~
Phone
OVNER INSTALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE~~~-~~:7-~tr-7-----------------
RECEI PT .: (\ '2, 'S. ." :-, '('. .
RECEIvED BY:.n - intu'.41t1-d ()
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ELECTRICAL PERMIT APPLICATION
. Ci ty Job Number '7 'j / I 7 J
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost Sum
1000 sq.ft, or less $ 85.00
Each additional 500
sq, ft or port i on
thereof $ 15,00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
$ 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
One Circuit I
Each Addi tional
Circuit or with Service
or Feeder Permit I
E,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Energy/Comm
5, SUBTOTAL OF ABOVE
7;5% State Surcharge
. TOTAL .
$ 35,00
1>
$ 2,00
2-
not included)
$ 40.00
$ 40.00
$ 20,00
$ 36,00
:$ 7 .::TV
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