HomeMy WebLinkAboutPermit Electrical 1996-8-13
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Authorlzed Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Name~E. 1<a. ~
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Phone .(
Address ) Ie:, 1
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Ovners Signature:
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RECEIPT #: (22. ~~.r '
RECEIVED BY: ,€f://>-...
'7W\
ELECTRICru, PERMIT APPLICAT
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq.f!: or less $ 85.00
Each additional 500
sq. ft or portion
thereof .." $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amI's to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80:00
volts see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 ,~5-,
Each Additional
Circuit or vith Service
or Feeder Permit I $ 2.00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ,~ 7.0-0
5% State Surcharge j,'8S"
. 3% Administrative Fee } . /I
TOTAL ~ f .'1fD