HomeMy WebLinkAboutPermit Electrical 1998-5-29
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION ~
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ELECTRICAL PERMIT APPLICATION
vI ty Job Number. ~'%~ ~
COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRI~ION 1000 sq.ft. or less
~&~ '5?-fiY/~~ ,,7;, /~#v~ach additional.500
~~~ sq. ft or portIon
Permits are non-transferable and e~pire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular Dwelling
180 0~YS. Service or Feeder
LEGAL DESCRIPTION
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2. CONTRACTOR INSTALLATION ONLY
.B.
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Electrical Contractor ~ ~~
Address /Cf9;<gC? /-1/,.0/ /1 C,
City~ d-1
~ License
Phone <(1)4tfo
Number ~ ~?J"
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Expiration Date
C.
Constr Contr. Number--1-/0 961
Expira tion Da te I-I r;-co
Signature of Supervising Electrician
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Owner~ Name /~.~7 -:f"/7Vhv~
Address :.?O' / ~/77Y L-:P.
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Ci ty. j>-:"..-~ _~. Phone "7 .'/~... ?J2c:.7 /
OVNER INSTALLATION
D.
The installation is being made on
property lawn which is not intended
for sale, leasedorr'ent.' .,
E.
. Owners Signature:
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5.
DATE: ~....~..~&
RECEIPT #: 3~~ ? '->
RECEIVED BY: ~y~'"
Items Cost
Sum
$ 85.00
$ 15.00
/ $ /JA.~
. 40.00 70'.
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Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
q01 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
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'aT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00 _,_
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