HomeMy WebLinkAboutPermit Electrical 1992-6-25
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The lolloWlnd~~e. not requlro spee ELECTRICAL PERMIT APPLICATION
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LOCATION OF INSTAL~~ Silln;>ture_
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work 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
OvnE;!rs Name PHy 4c", E'//,'::
Address J/}~ mer ~ 11-- L
Ci ty :5i'f71 Phone 7U -~5'()1
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease ?r rent.
ovn~ Signatu~~:
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-----~------------------~--------------
DATE:
RECEIPT #:
RECEIVED BY:
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City Job Number
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3. COIIP1J~'1''' FEE SCHEDULE BELOV
A. New Residential-Single or
lIulti-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling \ 40
Service or Feeder $ 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
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcu it
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL