HomeMy WebLinkAboutPermit Electrical 1997-8-29
. spa FIELD "."., ,
225 FIITH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . J
INSPECTION REQUEST: 726-3769 City Job Number. 97 L2-- 2.1-
OFFICE: 726-3759
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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1.
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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 AM'~ .
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name~s' ~I #~~
Address$3 ,)". _<d J0
City 5'~r5l PhoneY/""'J~3~
OVNER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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---~------------~------------~---------
DATE: 5i?-2~~:;:> _
RECEIPT 1I: Q7pa.<"/ ~O
RECEIVED BY: . ~ L/~ .'
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3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Hems Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
L----' $ 40.00 AYI!:fl
$ 55.00 ~
$ 80.00,
volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit . $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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. z..'1' 0
I ,:2. 0
-pf3 .20
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL