HomeMy WebLinkAboutPermit Electrical 1996-3-22
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225 FIFTII STREET ~niJ'" ~J) I? ) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Dote~/ z...?~ (\ '\ oO~/)g
INSPECTION REQUEST: 726-37~&h -:;;;] . I 0 /ICi ty Job Number '-^..
OFFICE: 726-3759 0 Slgnatu", /lI /
3. CO,PLETE FEE ~~>>EDULE BELOV
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Permits are non-transferable and expire
if york is not started ~ithin 180 days
of issuance or if.vork is suspenaed for
180 days.
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2..' CONTRACTOR INSTAL}:1'ION ONLY B.
Electrical contracto~~ c::Le~~
Address, \) l\) .?:oL 9 A
citAh\.l~Ofl~ Phone 11to'1~
Supervisor Lice~se Number 835~
Expiration Date ~\)' \.~
Constr Contr. Number '~ \t)~~l~'
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Expiration Date
City
Phole
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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Owners Signature:
~~~~~------2~~f~------------------
RECEIPT II: . ::z./) a~1
RECIOIVED IlY:<,~
A. Nev Residential-Single or ,
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less \ $ 85.00 q,5
Each additional 500
sq. ft or portion " lc?()
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 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
$300.00
$'40.00
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 volts
Branch Circuits
$ 40.00 4iJ.O 0
$ 55.00
$ 80.00
see tlB" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline 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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