HomeMy WebLinkAboutPermit Electrical 1998-8-27
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The following project 88 submitted has the followi
zoning, and does not require specific land USG
opproveJ.
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V)Z7/' ELECTRICAL PERMIT APPLICATION
9747'1'010-) 1
726~edSlgnalure 1\ r'\ City Job Number 9Wcf7/
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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A. New Residential-Single or
Multi-Family per dwelling unit.
Servi~e Included:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less ..../...::::::: $ 40.00 f!a-.- .,..,
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
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~A(/~~ ~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
. Signature of Supervising Electrician
Owners Name~) ,<;~
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Phone...2i1-tJS-60
Address 7'7})
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OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT 11: <: I~ '''l,F{
RECEIVED BY: ,)./>-__
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
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
D.
Branch Circuits
Items Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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