HomeMy WebLinkAboutPermit Electrical 1999-4-12
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225 FIITH STREET Zoning t-1/'J Y"l-- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~"t;n '-( -I:l. - c; <; -
INSPECTION REQUEST: i.,q1~7~~nal ~ City Job Number 9~ 7'.3 V
OFFICE: 726-3759 ure.
1.
Lg{:ATIO~ OF INSTALLATION
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LEGAL DESCRIPTION
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,
JOB DESCRIPT:I;ON
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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 i.' /
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Electrical Contractor ~r~f~/n(
Address 10& 7 f:/ldl1,rf' s+-
. _ Q7101
Ci ty bUlf:ti1t"- of?.. Phone .!ffIBi,j- 2.9'10
15535
Supervisor License Number
Expiration Date /~~/
Constr Contr. Number '2.6>-f31c..-
/rJlt /CJ9
,
Expiration Date
Signature of Supervising Electrician
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Owners Name fZt'ci.ard ;!t'a fj-
Address
Ci ty.
PhoneYS-o 9>M
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~:~-:~----~-~~~~~------
RECEIVED BY: ' - ./~~
'o//'7 I
3. COffPtETE FEE SCHEDULE BELOY
] 5'7'7 'I
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items
Cos t Sum
1000 sq.ft. or less :_'?J--;t.'S 85.00 .-)'iQOfy
Each additional 500
sq. ft or portion .
thereof :. :;., $ 15.00 '.,7;;-
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' 'OT less
201 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 (Circui 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.
_/ ~
~~.
2~<;;;eo
12,2S
7;5-5'"
..=
2C4'-~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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