HomeMy WebLinkAboutPermit Electrical 1996-3-21
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The following project as Gubmlltlld heO thQ folloWf~1!
zOlling, and does no! roqulre opoomc lend U90 '
r,pprove.!.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 ete
INSPECTION REQUEST: :. n6-376~
OFFICE: 726-3759 Authorlzed 81g
1.
LOCATION OF ~NSTALLATION
S, 1/ J ~S'/64
LEGAL DESCRIPTION
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tS)t:J4c91J
JOB DESCRIPTION
&"A<e~C
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
Citv
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name-1!i(!:'?Hf! O~ -
Address _~CZLr c!J' AA~ ~
City Jf/'1Jf~il Phone 7 t(7.--<F/9:2....
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT #:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
O~ Ci ty Job Number. %~~~
3, ' CO~PLETE FEE SCHEDULE BELOll . '*
A. New Residential-Single or ,
Multi-Family per dwelling unIt,
Service Included:
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocatio~:
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
Items
Cost
Sum
$ 85,00
$ 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 $ 40,00
201 amps to 400 amps $ 55,00
Over 401 to 600 amps $'80,00
Over 600 amps or 1000 volts see "B" above
D,
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit t..---' $ 35,00 55:'-
Each Additional
Circuit or with Service
or Feeder Permit :I- $ 2,00 f.~
not 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
$
$
$
$
---'39. t;r)
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40,00
40.00
20,00
36,00