HomeMy WebLinkAboutPermit Electrical 1996-7-23
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SPrllNGFIELO ,
225 FIFTH STREET Zoninp (', (',
SPRINGFIELD, OREGON 97477 nc<'~ .1... 'Q . eq l./
INSPECTION REQUEST: 726-37"6' vn/\
OFFICE: 726-3759 Authorized Signature 0 V I
1.
LOCATION OF INSTALLATION , ~
~ ~7 /b~<!/e4?/?/'a:/
LEGAL DESCRIPTION
. \ 703"17 436s<friJrJ
City Job Number 9C:;?J 7,3 ~
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3. COMPLETE FEE SCHEDULE BELaY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
JOB DESCRIPTION 1000 sq. ft. or less
-j:t~/~.J ",~-1' ~/ p4.1~~~c.I Each additional.500
/'-- sq. ft or portIon
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
. 180 days..
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~h't9/A- t!~l~G
Address ~/7~ kJ. c/~~_
City ~./7u~ Phone .3'13-729 7
Supervisor License Number v2,,~~~~~
Expiration Date ~t?~~~
Constr Contra Number I 7...1.5'2-
Expiration Date / D/9'~
Signature of Supervising Electrician
#/~~ '.
rk:':rs NamepA/b//'le/ &"'/
Address ~ ~ R 0J b/e/
4#d Phone ~?2-~// ?
City
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 7 -z.z _.q.~
RECEIPT #: ;21CS5 /'
RECEIVED BY: \k
~
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 less / $ 50.00 5ZJ rJ'~ /
amps or ---
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
101 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 Ci,rcui t . .
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
5% State Surcharge
TOTAL
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