HomeMy WebLinkAboutPermit Electrical 1998-6-18
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SPRINGFIELD
1 he. following project as r.ubmltted tk"1S the foil.
ZOJ"ltr"q. and does not require opccrffc land uo;
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225 FIFTH STREET Daie . '6
SPRINGFIELD, OREGON 97477 . n
INSPECTION REQUEST: 726_3'~9orlzedSlgnalure YY\
OFFICE: 726-3759 . \
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1. LOCATION OF INSTALLATION
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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 Con trac tor~'LluX f:.\e.<:-'\y-lC
Address lJ.g~ Wk\ :X;};V~
Ci ty 5.J...~~NV Phone &BR-&/ ~I
Supervisor License Number ~'7ICf~
Expiration Date 10/01 Jqp,
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Constr Contr. Number.;;;tJ-/1Ct{7,
Expiration Date 10/01/qB
Signature of Supervising Electrician
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Ovners Name/..0"""'~~ ~~
Address /A~ .A/. ~~
CitY'l/1"'-r~ /~ Phone?/.:> ~.<,~
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners~Signature:
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". .
DATE:
RECEIPT #:
RECEIVED BY:
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ELECTRICAL PERKIT APPUCATION
City Job NUlllber ~~~S
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COMPLETE FEE SCHEDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dvelling'
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
S 60.00
$100.00
$130.00
"J'" $300.00
$ 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
voJ.ts see "B" above
Nev, Alteration or Extension Per Panel
"
.One Circui t $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t ~ $ 2.00 /~
Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res .
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
$ 20.00
$ 36.00
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