HomeMy WebLinkAboutPermit Electrical 1997-6-23
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Oetcj,'J/l 3/'11 ELECTRICAL PERMIT APPLICATION
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726_':J7'691zodSlgne.tur. p~ City Job Number q?d -Y.98
3. COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATIO~ OF INSTALLATION
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LEGAL: DESCRIPTION
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JOB DESCRI!'TION //
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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..Be.a""f""\n 1<'1 c....f-,...;,...
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Address2585 Roosevelt Blvd_
Ci ty Euqene
Phone <I h 1 - n ? q 1
Supervisor License Number < <I R <;<:
Expiration Date 10/1/9$
Constr Contr. Number 3R4q7
Expiration Date 1/1 0/9S.
Signature of Supervising Electrician
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own:tJName~ ~ r;AIsY~'
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Address ~t;N L/;1.v~ ~,
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Ci ty ~ ~. Phone -j?42-~S r
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
______________~;?;-;~---------------- 5.
DATE: 12.~ 9} ,
RECEIPT 11: 2..r... 2--t!l-/ ~ ~ L
Y"'o....~....Tln:"n DV. . F.-/",:,/$/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost ,
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home or
Modular. 'Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t 7tt:> $ 2. 00 ~eJ
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
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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