HomeMy WebLinkAboutPermit Electrical 1996-10-15
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225 FIITH STREET Zo.,;rl' C (1 -
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SPRINGFIELD, OREGON 97417 10 - /'-i
INSPECTION REQUEST: Alt28~3769 - ~
OFFICE: 726-3759 " "",a "'gnatU;8_
1.
N' '(M
3.
LOCATtON OF I~STALLATION <:::.,..,-:4 A ('..0
2?> _ /'fIO../vr'..A.. 5-1 _ ~f'-.-A.
LEGl\J,.,..p~QUPTION ~- -
170:56':;:32 (1.&)UULJ
_ ..,J( OB DES~PTION n _I ,/7" _ ~ 11 "
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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 B.
Electrical Contractor ~_ ~Oo~
Address~IoL.fW-p /;)eQfI{LO.-,,^ QJ _
City 'Sp11 Phone 7'1. i c!1.::::: 1
Supervisor License Number .:;Ji!! 37/(1,S
Expiration Date /0/1 } q R ..
ILl it
Cons t r Con tr. Number 7t:2 -3 0 '1
/V/t/q,
I -'
rvising Electrician
Expiration Date
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WlJ.CII <;p:bl
Phon~. .
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Owners Name
Address
nG,
City
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE~==--~I()=72?:CfC:;----------------
RECEIPT I: 1-;;,>/(4)
RECEIVED BY: ib
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SPRINGFIELD
Ci ty Job Number
~U"fLeI~ FEE SCHEDULE BELOV
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. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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 $0.00
$ 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
see nB"
above
volts
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit /~
$ 35.00 3's.oo
$
2.00
20. OD
E.
Miscellaneous (Service/feeder-not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36,00
5.
/05.0-0
') ,:I.. t:')
"). IS
SUBTOTAL OF ABOVE
5% State Surcharge _
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