HomeMy WebLinkAboutPermit Electrical 1997-6-26
The" following project as .ubmitted h"" Ih
zonmg, and does not requir~ opecii'" '"n
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97477 Autho~zed Signaturo.JlYVI
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. LOCATION pF INSTALLATION
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LEGAL DESCRIPTION 1'60:200 (:2 Oo-we-
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JOB DESCRIPTION .
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number /()73 j)s.
Expiration Date WI? .
Constr Contr. Number
Expiration Date
SignatUje of Supervising Electrician
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Address ~.2..S /hil/ ST.
Phone
?#-C,375
City S.MJ;..J/t7Y1Q
I
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t.
Owners Signature:
€1('1j;,-;~:;;=--------
R PT ff: 2.J~'J.LJA
RECEIVED BY: r~ '
ELECTRICAL PERMIT APPLICATION
;;:'~J J.;~umber Q70 '-( b 'S
3. COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Manuf'd Home or
Modular "Dwelling
Service or Feeder S 40.00
B.
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
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100U volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit I $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
s
s
s
s
3'1.00
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