HomeMy WebLinkAboutPermit Electrical 1996-6-14
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SPRINGFIELD ,
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 _J
INSPECTION REQUEST: 726-3769 City Job Number e:f5t!Jt;,Q'.S"
OFFICE: 726-3759
1.
LOC~2: ~/N~~
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractorJI'1(/( j}J-nO(l: f,)O/l)
ki-r;c.< . 5I'11c!.- .
Address 51!? C;-., .s-~ rod C:-r-
City S;r/J1(i~~ (d Phone 74-r ?Ofj~
Supervisor License Number 37 3 ~-S
Expiration Date I()-I_t;'if
Constr Conn. Number 77tJ/j~
Expiration Date /tJ-(1')- qlt'
Signature of Supervising Electrician
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Ovners Name-1NAJJ( h,eru]
Address
Ci ty Phone-2~' -" 4
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ~ -/~~"'6
RECEIPT #: ':l..1"7So/
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3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less ~$ 85.00 ~.H:>
Each additional 500
sq. ft or portion
thereof '2- $ 15. 00 ~ bit
Each Manuf'd Home. or
Modular'Dvelling
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 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOT~L OF_ABOVE
5% State Surcharge
3% Administrative Fee
$ 35.00
$ 2.00
not included)
$
$
$
$
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40.00
40.00
20.00
36.00