HomeMy WebLinkAboutPermit Electrical 1997-5-15
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ZZ5 FIFTH STREET Zcn!ng
SPRINGFIELD, OREGON 9747), (., _ c- c,;;i n___
INSPECTION REQUEST: 7ZS"}3769. ~,
OFFICE: 726-3759, Authorlz<>d Signature f.J /"A
j:'-COKPLETE4>EE SCHEDULE BELOk'
1.
LOCATION OF INSTALLATIO~L
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LEGAL' DESCRIPTION IL.:::> / ' . , '
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JOB DESCRIPTION
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Permits are non-transferable ana expire
if work is not started within 1BO days
of issuance or if work is suspended for
180 days.
Z. CONTRACTOR INSTALLATION ONLY ,B.
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Elettrical Contractor ~kcvW\, .D\..c..
Address ,qO/ M.tJ NiM.-NlLlal\d, &v-k If
City Kc)JeloL-Lrq PhoneSJ.{l-b1). .JIQR
Supervisor License Number
Expiration Date
yons tr Contt. Number 00'7 fe,5).;L,
Expi ra t ion Da te q J lip J Of?
Signature of Supervising Electrician
Owners NameS()(jJJ, utlJ:;Q{/(j 13fttA. D,
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Address <;q FCI, r 11.~h. I4v J ,. .
City r-:()'~hP _ Phone .~L/~ - 232S
0k'NER INSTALLATION
The installation is being made on
property r' own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~71~J"tz-~-----------------
RECEIPT 11": " bl'- -/-/0;
RECEIVED BY: "^ .111..1...._
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ELECTRICAL PERKIT APPLICATION
City Job Number q 7 () :2 7 0
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
$ 85.00
S 15.00
$ 40.00
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
S300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ BO.OO
see "BII above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm $ 36.00 Jt?W
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
310,00
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