HomeMy WebLinkAboutPermit Electrical 1996-3-29
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225 FIITH STREET Zonifl9_ L D . .. ELECTRICAL PERMIT APPLItMTION
SPRINGFIELD, OREGON 97477 , '3/;yf jq ~ (\ I 10
INSPECTION REQUEST: 726-37i'l~a I '~ CiJY In&- Number ~ \0 1\
OFFICE: 726-3759 Au\hortzed SignatUre
3, OHPLETE PEE SCHEDULE BELOV
N.
1. LO~~ ~LA
--1..~ON
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Permits are non-transferable an expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~ ~r~V\
Address SQC1"TG:. 1::x:1y Lane",
City t.l.)q&W\~ Phone (08(,,-0':71':>,5
~
Supervisor License Number 15" e S
/o/t/q!j
5#31
Cf/50/Qe
Expiration Date
Constr Contr. Number
Expiration Date
Signatu~~~~ician
O,.m N~\\J:~all\ ~l1illDu1
AddreLf'f \~\~
Ci ty Phone "144. ~~ '
o ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------~:~~11?----~-----
RECEIPT 11: \J :'N': 6,r 1'1<"6.,j
RECEIVED BY: ~_" ,
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
-l...
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
uni t.
Cost
Sum
\
$ 85.00
~
SO
$ 15.00
$ 40.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
'Over 600 amps or 1000 vol ts
Branch Circuits
$ 40.00
$55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
S 20.00
S 36.C()
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