HomeMy WebLinkAboutPermit Electrical 1998-6-9 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
. ,.----..-~AljTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDdNEEfmCAL fERMIT APPLICATION
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726-3769 ANY 1800AY PERIOD. Ci ty Job Number vrr l)fo~.--J
3. COMPLETE FEE SCHEDULE BELO~
1. LOCAIIONO~ INSTALLATION
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A.
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JOB DESCRIPTION J
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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,
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~/~ iJec"l ( 1F/('t..A-
Address 1171.5 FDx IhV/ov-7 fld
Ci ty Iv $h-J<-~ Phone qP.:G-:2't7Z-
Supervisor License Number ~.57 /lS"
Expiration Date
""8
IO~' '1 .
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof '
Each Manuf'd Home. or
Modular. Dwelling
Service or Feeder
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
Items 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 Relocati?~
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Constr Contr. Number "1.~"/ J,J
Expiration Date
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Signature of Supervising Electrician
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Owners Name ~~d-..., d/I/~~
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Address I~ h -1 ('bn..(.(-Vi i'\ i d
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Ci ty .\/JG' J.. Phone
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OVNER INSTALLATION
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The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #:' I ()6.-, U .):.J- 'X
RECEIVED BY: ~ - UrI .be--
200 amp~'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit
E. .
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 35 ()U
$ 2.00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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