HomeMy WebLinkAboutPermit Electrical 1994-9-19
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3169
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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 (:I,,\\rU ~Ifrl:ci.c.,
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Address \ d ~\\ \
Ci ty ~c.,
Phone i.ll ~ -dJi'lq
Supervisor License Number I O{J{o ~
Expiration Date !O-I-4(
Cons t r Con tr. Number (OD )'-(:::;
Expiration Date q-L./-qr;
Si~.~ure of Supervising
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Electrician
Owners Name
,
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E~.
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
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RECEIPT II: . j c.I? .'
RECEIVED BY: . t" _..
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ELECTRICAL PERIlIT APPLICATION
City Job Number 9'7'/ ':?9?
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,""vn"~"'J::. .l'J::ou .)CHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling ~nit.
Service Included:
It ems
Cost
Sum
1000 sq.ft. or less V $ 85.00 ,32:-
Each additional 500
sq. ft 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:
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 100u volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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