HomeMy WebLinkAboutPermit Electrical 1999-8-24
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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97477
726-3769
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Q9 /02~
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
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Permits are r.on-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 Son it ro I Secllr i ty
Address P.O. Box 21009
Ci ty Ell uene
Phone 461 .. 5678
Supervisor License Number /6/1'1l<.fjr
Expiration Date
//)-1-99
Constr Contr. Number 65149
Expiration Date
6-28-00
Si~~~Sing Electrician .
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Owners Name lLhaJ I"o'.Ylurf< (}td,LJilJr'm
Add ress g(q to () Ga:.feuY.lA / S~.
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Ci ty '<frt'''eh'f.Jd Phone 744- CJ497
OVNER INSTALLATION
,
The installation is being made on
property I own. which is no~ intended
for sale. lease or rent. \( .... '\' '.
Owners Signature:
---------------------------------------
DATE:. g-7,-/.&39
RECEIPT~: ":j"~3AO
RECEIVED BY: ~{::;J -7/
- //Y ..
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 Reloca t i on:.
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 Cos t
Sum
$ 85.00
$ 15.00
S 40.00
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Se'rvices 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "BII above
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
15% S ta te Surcharge
3% Administrative Fee
TOTAL
$ 35.00
S 2.00
no t included)
S 40.00
S 40.00
S 20.00
-L- S 36.00
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