HomeMy WebLinkAboutPermit Electrical 1996-3-11
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225 FIPTH STREET . --=>, ELECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 974770010 J " n "
INSPECTION REQUEST: '726-~~ "' c.A-/ Citv'Job Number 96""C!J?7'C:::>
OFFICE: 726-3759, '. . " , ..
. '3. I COMPLETE FEE SCHEDULE'BELOV
1. LOCATION OF INSTALLATION. j ,
.:J..7t5???-9-72rw~-~W'~~ A. Nell Residential-Single or
/ ' Mul ti-Family per dllelling uni t.
LEGAL DESCRIPTION Service Included:
/7(.:>3 ,p..;z.. ~o - O.?3IJJftJ Items Cost Sum
.
JOB DESCRIPTION
/-~K'~,r7'" ("~
Permits are non-transferable and expire
if 1I0rk is not started lIithin 180 days
of issuance or if 1I0rk is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor s;~ f: k-L,t..
Addres's ;;YJO I .s ~ JL/i!:>-'
City av-\-L) , Phone .,,23,3-363 /
:st%S
Supervisor License Number
Expiration Date ,01 Cf8
.
4L/~:1.3
Constr Contr. Number
Expiration Date Jo/CJ6
Signature of SUfe~ising Electrician
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. ~\lners Na~ n& T
;:dre seff}<:{J ~~
The installation is being made on
property I Olin IIhich is not intended
for sale, lease or rent.
Ollners Signature:
~
----------------------?1>r-------------
DATE:_ /;!)" I .'-11 Fl,.........1
RECEIPT 11: . , "e' 1ILJ ~
RECEIVED BY: C\' '\F1- ~ - -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Manuf'd Home. or
Modular'Dllelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amp's to,600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
Nell, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t J
Each Additional
Circuit or lIith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
,
,
$ 35.00 ;:JtJ;'OO
$ 2.00
not included)
$ 40.00'
$ 40.00
S 20.00
$ 36.00
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