HomeMy WebLinkAboutPermit Electrical 1996-9-17
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SPRINGFIELD
The 1o\!cwing prcl'~ t uire specific lano uz
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Zonina C, ELECTRICAL PERMIT APPLICATION
97477 oC\'n-QlO . f)///}(J/'A
726-37r;gt- - /1V' CIty Job Number '1 1,0 tf- vn
Authorl;::ed Signature
3. COMPLETE FEE SCHEDULE BELOII'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l. LOCATION OF INSTALLATION
/ / / I", S. A s-l.
LEGAL DESCRIPTlpN
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within l80 days
of issuance or if work is suspended for
l80 days.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
lOOO sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ l5.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son it ro I Secu r i ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number I fo'i?9 R ET
Expiration Date /() - /- 9C-,
200 amps or less
20l amps to 400 amps
40l amps to 600 amps
60l amps to lOOO amps
Over lOOO amps/volts
Reconnect Only
$ 50.00
$ 60.00
$lOO.OO
$130.00
$300.00
$ 40.00
Constr Contr. Number 65149
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date_ 6-28-96
Signature of Supervising Electrician
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Owners Name WooduYJrKerS !)PI/Of?
Add ress ,-S01k1..-f'
City
Ph on e..2!l:/n - 2",41
OIl'NER INSTALLATION
200 amps or less
201 amps to 400 amps
Over 40l to 600 amps
Over 600 amps or lOOu volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35,00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
$ BO.OO
see "B" above
$ 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 I $ 36.00 . -;;:(nOZ>
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
--------(H------------------------------
DATE: (-/3-q ~
RECEIPT If: ._, i:i<l<<s< .
RECEIVED BY: ~.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3G:, on
180
(08'
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