HomeMy WebLinkAboutPermit Electrical 1996-11-13
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726!:376,!<od S,gnQIL/,o-1L111
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l. LOCATION OF INSTALLATION
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ELECTRICAL PERMIT APPLICATION
City Job Number
_.
COMPLETE-FEE SCHEDULE BELOV
q (; I 41 q
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
t\:W\ RE: /-i,,,..1:. (u.""'~ 1.<: "F"'l~~ $PAUl
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
Electrical Contractor ~ ~
Address
tvA
City
Phone
-
Supervisor License Number t.;023 5
Expiration Date
I ()-/ -qp,
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 10 A
Expiration Date
NA
Signature of Supervising Electrician
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Owners Name!bdll,,~ AI A...,g 'PA1lK.lfl?L. D/-:r
AddressJ,fu 1\.). '3h-rH STR.(1!'r
CitySPR'"""FIe:O:-. Phone 7Z/.,,-+,3/:'/)
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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J_~_____________~______________________
DATE:J 1- I 3, - -I <:t
RECEIPT 11: U'o/-S78' I.
RECEIVED BY: n. m a(,1AtJ.tPff
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or'F.eder Permit \~
$ 35.00 3S,t)?
$ 2.00 38.Q?
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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