HomeMy WebLinkAboutPermit Electrical 1996-4-8
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97477 Authorized Signature 1)1()
726-3769 '
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOCATION OF~STALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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1.
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.
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Address P,LJ~ ~ a~/~h
City~77".AVd Phone~ -~7Z2..
'772.'f!>L
Supervisor License Number
Expiration Date
Constr Contr. Number &-,."? /O~
Expiration Date '//6/5'?
Signat~e of ~upervising
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Owners Name ~t"--A- A. )
1
Electrician
;A.
Address
City Phone 7#!-'~~4f
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------~~;I'J'~-----------------
RECEtPT jj: 21 C7I'? \'
RECEIVED BY: d~
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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Sum
Items Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00 4.rJ~O
$ 55.00
$ 80.00
see nBn above
"
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4ofO
5% State Surcharge ' ':2.. c>(')
3% Administrative Fee /....0
TOTAL -r- 3 ~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dwelling
Service or Feeder
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
200 amps' 'ox less ~.
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit