HomeMy WebLinkAboutPermit Electrical 1996-4-29
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SPRINGFIELD
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. 225 ur ~A STREET ~~~:~~~~<< L 0 . . ELECTRICAL PERMIT APPLICATIQN
SPRINGFIELD, OREGON 97477 zon,ng~ "
INSPECTION REQUEST: 726-3769 L-1 _ i:4A ~~(\ City J<lh. NUlDb~r 95M3 fij
OFFICE: . 726-3759 D.t.~ '" ~ .
. . AIlI\'lO{\...o Slgne1u'e~. HPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
20') I'Yl11..11...<<. ~ -rb,..,li?ftl< ~..~)_
LEGAL DESCRIPrION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if.work is n()t started vithin 180 days
of issuance or if York is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
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Address
City
Phone
Supervisor Licen~e Number ~~2~ ~
Expiration Date....!/) -/ -9l3
Constr Contr. Number J.J /A
Expiration Date J0/A
Signature of Supervising Eiectrician
J::;/n~ .P, 13m,i,/j/
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owners Name j, );( &. ",..oJ,., "". 11:t rl::: 7;)15!"rtC1"
Address_~ O.3t:-rH ~
Ci tyS'k, N<:I"I,t;'t.r-.
Phone 77~ -o/iJ~/)
OVNER INSTALLATION
The. installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEt p'p. .:
New Residential-Single or '
Hulti-.Family per'dwelling unit. .
Service lricluded:
A.
Items
'1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd H~me or'
Hodular Dvelling
Service or Feeder
B.
Services or Feeders
Installation,' Alterations
or Relocati.on:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to lOOO amps.
Over 1000 amps/volts
Reeonnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 50.00
$ 60.00
$100.00
. $l30.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100U.voHs see "B" above
D.. Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circui.t -=;::- $ 35.00~ 1-*_-
Eaeh Addi tional . .
Circuit or with Service.
or Feeder Pe.t'mi t / $ 2.00 .?_~
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5%'State-Surcharge
TOTAL .
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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