HomeMy WebLinkAboutPermit Electrical 1997-9-25
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477 ~q-1
726":376914 . -I
K... llon~ed Signature
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1.
LOCATION OF(\INSTALLATION 1\
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LEGAL DESCRIFTIO~I
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JOB DESCRIPTION
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PermIts are non-transferable and expIre
If ~ork IS not started ~IthIn 180 days
of Issuance or If ~ork IS suspended for
180 days
2. CONTRACTOR INSTALLATION ONLY
ElectrIcal Contractor ~~~ ~J'L?
Address~q&? 7~ /)'35/ L/?ud
CIty b~-1p-A/e Phone.b1?~-Ciq()5
SupervIsor LIcense Number ~~~~~
EXpIratIon Date /6// / q,p
, ,
Constr Contr Number~~~_~/
EXpIratIOn Date 9/?O /4.17
, ,.
SIgnat~~~trIcIan
---
O~ners Name
Address
CIty
Phone
OVNER INSTALLATION
The InstallatIon IS beIng made on
property I o~n ~hIch IS not Intended
for sale, lease or rent,
O~ners SIgnature:
----------------0- --~~---------------
DATE: "" 2./(_ ~ 7
RECEIPT j!: . ;?, <;'" 1t:~ 1
RECEIVED BY: ,//~,...-.
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ELECTRICAL PERMIT APPLICATION
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3.
CIty Job Number
C)'7/Jr;2 "
COMPLETE FEE SCHEDULE BELOV
A. Ne~ ResIdential-SIngle or
MultI-Family per d~ellIng unIt.
ServIce Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each addItional 500
sq, ft or portIon
thereof $ 15.00
Each Manuf'd Home or
Modular D~ellIng
SerVIce or Feeder $ 40 00
B. SerVIces or Feeders
InstallatIon, Al tera nons
or RelocatIon
200 amps or less $ 50 00
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40 00
$ 55.00
$ 80 00
see liB" above
D.
Branch CIrcuIts
Ne~, AlteratIon or ExtensIon Per Panel
One CIrCUI t v--- $ 35 00 ZS c;ro
Each AddI tlonal
CIrcuIt or ~Ith SerVIce ~
or Feeder Permi t 2. $ 2.00 "T ,6-0
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 3 '7 ~ D
5% State Surcharge /,~~
3% AdmIn1stratIve Fee '; 17
TOTAL A' ~ /1-
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