HomeMy WebLinkAboutPermit Electrical 1996-9-10
lh~ following proJBe ' ..
!(.nlng. and docs not require specl1lC land u
!\pproval.
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v fJ v' ELECTRICAL
97477 AuthoriZed Signature
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST: ,
OFFICE: 726-3759
, l-,hOCAT~Otj.. OF INSTALLATION
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. JflIl 'DESCRI~ION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days. .'
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor 7? .t-<'f-"..../Et"o
Address / .2-Qo ,/~~:: r-:
Ci ty;;:e:; ,., < I""L- Phone 5 ~
(
Supervisor
PERMIT rf;PLICATION '
Ci ty Job Number l\ \.Q(Jl OA4
COHPLETE FEE 'SCHEDULE BELOIl
3.
Services or Feeders
Installation, Alterations
or Relocation:
.200 amps or less
201 amps. to'400 amps
~ S----L;"Ol amps to. 600 amps
601 amps to 1000 amps
Over 1000 ,amps/volts
,Reconnec t' Only
A., Nev' Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq, ft . or less $ 85.00
Each additional 500'
sq. ft or portion
, thereof . ' $ 15.00
Each Hanuf'd Home. or
Hodular'Dvelling
Service or Feeder $ 40,00
C. ,Temporary Serv.ices or Feeders
Installation, Alteration or Relocatio'n
200 amps' 'or less
201 amps ..to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
License Numbe~7?'~ J-L.e:
/b/;-/4~
Constr Contr. Number ;?OlOO
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Signature' of S,upervi.sing Electrician
Expiration Date
Expiration Date
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- D.
O,mers Name /:;/;..,e- t ~ r:>h"J.
. Adcire~s 1.q4~ (.-<... \ m lY\ _ '
City~ ~horie3i-~ l1(oQ'
~~ IQ,TALLATION'
The installation is being ';ade' on
property I ovri vhich 'is not intended
for s!lle, lease or ren t.
Ovners, Signa ture:,
DAT~~---~--~-L:f~1~~ctltz57----:~~-'
, ,RECEIPT 11:. ". 0', I').""'\~"'
RECEIVED BY: .' C5( c.r:p: ~- "
. ~ . . ' .. .
Branch'Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
,$ 40,.00
$ 40.00
$ 55.00
$ 80.00
volts see liB" above
. .
Nev, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
P~mp or irrigation
. Sign/OutHne Lighting
Limited Energy/Res
, Limited'Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit .
, "
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
, TOTAL
, .
'.
$ 35.00
$2.00
not included)
/
, $ 40.00
, $.40.00
$,20.00
$ 36.00
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