HomeMy WebLinkAboutPermit Electrical 1999-8-18
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225 FIFTH STREET number tor the Orego U' ,hI? lelephonE! ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477Cente.jo"p r~ IllltyNOlificalion f:'n 10")(/
INSPECTION REQUEST: 726-3769 "r..33?-~344). City Job Number '1 ~I f7'...D
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JO}3 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 B.
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Electrical Contractor
Addre~&' f'1{,/ ~
Ci ty ctf;t,1Y'-i t/tJ Phon~ IP'iD-T7t/f
Supervi.sor License Number . '11& I~~
Expiration Date /oj<Jq
Constr Contr. Number te6 1/111J-
Expiration Date I~I .
st;:;JJJZing Electrician
eJ "1, , _ . 0 (y.' D.
Owners Name lfJ~ prw~) Vlt.,tct-'
Address --:Po 0 ' ~ do- '11
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City~ Phone 744 ---'qI.{Oj
o~ ~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
I terns Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. f t or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder .$ 40.00
Sum
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
$ 40.00
$ 55.0Q
$ 80.00
see liB" above
Branch Circuits
"
.New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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