HomeMy WebLinkAboutPermit Electrical 1997-2-24
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECrION REQUEST:
OFFICE: 726-3759
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Du? -." L1 _ ()/} -ELECTRICAL PERMIT APPLICAT~ I
97477 - -a!.:"'/_f I f\\1-I\1'J
726-376<;\'" I," "~i~n~ture_n tV\....- Ci ty Job Number '-"\ \
3. COMPLETE FEE SCnEDULE BELOV
1.
LOCATION OF INSTALLATION ~
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JOB DESCRIPjlDN .
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Expit-ation Date
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Signa~perv~ Electriciilll
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Owners ~a~',\\t n\"\\{'_ -.;\ \'l\rnnQn \_J\\~
Addres~n c.;,{\ fM Th n1Y\esfl.
Cit~ Phone
~\'~NSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIVED BY: -, 1 I/~
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Branch Circuits
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are Iloll-transferable and expire tllereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACrOR INSTALLATION ONLY J.l~~ Services or Feeders
I> -:'? '/?U' ~lstallation, Alterations
Electrical Contractor_",\o::;~ ~r-90r~~ -,o~~ ~r Relocation:
B'na -;) -t ~')O~ ~):~
Address ,( 7Co J/~ Lo..n~ rt;.. ~'% ~ ~,J. amps or less I $ 50.00..5ZJ~
u /~ V<.<) <?u2\J-f/,amps to 400 amps $ 60.00
CityCUqe.VJe Phone~-010~0-i' <?a ~i'<50.to 600 amps $100.00
~ ')-,0 ~/.r-6~ a to 1000 amps $130.00
Supervisor License Number /Sfr,B.s ~ U'%e~~?Q:?<-amps/volts $300.00
/ 00 K\!~n~ t~ly $ 40.00
Expiration Date /0 f /</Po . Va;S>~ ~
C. Tempo~r~G~res or Feeders
Constr COlltr. Number 51/4.31 InstalY~b'",':"'lheration or Relocation
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U voJts
$ 85.00
$ 15.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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