HomeMy WebLinkAboutPermit Electrical 1996-6-14
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SPRINGFIELD
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 9
INSPECTION REQUEST: 726-3769 Ci ty Job Number S2J~rtp
OFFICE: 726-3759
1. L9~ATION OF INSTALLATION
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LEGAL DESCRIPTION
IS;o 2- 0 <::; I Z (' :r/l("'l/1
JOB DE~PTI~
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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~fATIf'/I,( .f(;OA)
. kJ.E c."( . JiJ',.. (!.. .
Address "3/t? C;-" .,'!'.l- nd <"..,.-
City ~<i?rJ/II<j{;~ I J Phone 74r ?Ofj~
Supervisor License Number 373 -S-.S
Expiration Date /O-I_-clfj
Constr Conn. Number 77[}/j~
Expiration Date /CJ-(/?-- q~
Signature of Supervising Electrician
129;. ~ MA-;::;.h.
Owners Name /~t!./b) /.L/tl
Address
Ci ty Phone 7~-(p~~1
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~H''9~ .....,
RECEIPTlf: 2/ '?.. t.r /'..{ ~ .
3. COMPLETE FEE SCHEDULE BELOY
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. 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
$ 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
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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