HomeMy WebLinkAboutPermit Electrical 1998-11-23
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATIJlN OF :ulSTALLATION .J
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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.
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Electrical Contractor __''''..''1/0\)\0
N'OlegoO la'" .~~- goO Utili\)'
Address j(fiE-NiIO _'~^nl",d bY tne ?l~ ?'O "etforth ,
. 10110W I.UI"c~~tel. ihose tv "O~R 952-001' .
City ~1^titicatloO _, ':lO~tl<m;el\)gh 'It~ ,..IAS bY
"0 OAR 9b'~-v'" ~t?t!O copies VI .- hOOe
Supervi.~'C90!.-toa~Y R ~r.~ote: \he\e\~.t~.\nll
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Expi ra t ion~,*lolthe 0~e~nn_"'32_2344).
o Ceoter'" . .- C.
Constr Contr. Numher
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Expiration Date
Signature of Supervising Electrician
Owners Name
Il,r L"J
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Address \I q '1 Cat 'rcIJ<'''AJ ~l ctr) U q
Ci ty ~-I' I^ -e. ;'0 I, Phone 7<{ S "'J.. Cj 4<7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE~-----i;;~ii'fi---------------------
RECEI~l 11: . h~1i11-4 .
RECEIVED BY: d tv"^""
ELECTRICAL PERMIT APPLICATION
City Job Numher qfrOCfSr
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included,
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
Services or Feeders " . '''' ^N'i
Installation, Alifie',ilat'i6n'sl, d
or Reloca t ion :""9'<f 51 \:10 03:JN31'l1'l0::>
\:IO:! 03NOONv n'<f
2Qo..i\~'V)l\v.~~\;\S. \:I30NrI Q3ZI\:lO~J50. 00
2~}I'a-mps to 4QP.0J1lrlVHS.-ill'i1:l3'$ S6G~OO
4~(?,\fIPi1H\ ';~~";fmps '9I'\HP<M00
601 amps to 1000 amps ogj"'$'t3tl:00
Over 1000 amps/volts $300.00
Reconnect. Only $ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less I $ 40.00 'fo
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D. Branch Circuits
.
New, Alteration or Extension Per Panel
One Circuit
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 t{tJloy
5% State Surcharge 'l.. iH
3% Administrative Fee ,:'Lv
TOTAL tJ f. 2..u