HomeMy WebLinkAboutPermit Electrical 1996-9-20
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SPRINGFIELD
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225 FIITH STREET D. ,MiL~L4.&\ (fl Vx'\ ^
SPRINGFIELD, OREGON 97477. flY I
INSPECTION REQUEST: 726_3i/f9'orlza<l Slgnlllure
OFFICE: 726-3759
1. LOCATIOI},~F INSTALLATION
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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
Electrical Contractor /lffll!!r1,o 13~9.
Address /MLf ...iEOl3l2S0AJ St.
City E(J~ Phone3i/;;-!7h9
Supervisor License Number l!3f>
Expiration Date ~
Constr Contr. Number 6t;'~/P
Expiration Date 3111-
Signature of Supervising Electrician
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Owners Name~.4Y fl1/1-t.{ Atzltztrs .
Address OOaO ~ St.
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Ci ty .'5fI?l/"Jt!JFleUJ Phone 1'17- b;)!9tj
OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D~~E~--------~~~~rl?--~-------~5.
RECEIPT #: .. I. . 0r~~..f ~ ~1)
RECEIVED BY: O'-U~
ELECTRICAL PERMIT APPLICATION
C\\oD:\ 1c:=l
v'LY Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
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' 'or less $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
not included)
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
$
$
$
$
'10-
2.-
1,20
../L'I3. 2.0
40.00
40.00
20.00
36.00
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