HomeMy WebLinkAboutPermit Electrical 1996-4-12
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The following project .
zoning, and does nol ';" submitted h4sthe 10
approval. squire llpeCif!c iMd u""
Zoning at f)L
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9 7 4 77 Authorized Signature /?/J()
726-3769 I f
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION Of INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRI~ION
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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.
ELECTRICAL PERMIT APPLICATION
.:.,;, Lf-.H>b Number q ~rJ j ~ r
3, COMPLETE FEE SCHEDULE BELOII
A.
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
Items Cost
Sum
L-- $ 85.00
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~ $ 15.00
'15:00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
__'-. . 1 fJI.. ~ J ,r Ins talla t ion, Al tera t ions
Electrical contract~J1L.<.nf.krnfful~r; Relocation:
Address 3/6. ~ i/)nl 0 ,200 amps or less
. J' Jfi ' 201 amps to 400 amps
City<).aJU~ Phone 7<17 7../J8Y 401 amps to 600 amps
, J ',1 - 7 ~7 t$ 17"l 601 amps to' 1000 amps
Supervisor Li cense Number 17 5 5' $" Over 1000 amps/vol ts
Reconnect Only
Expiration Date /o-9~
Constr Contr, Number 770~~.
Expiration Date Itl- <11
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Ovners Name
Address
City Phone
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
------------------;r---~-- ------------
DATE: ~//~ '76
RECEIPT #:. ' (Z-~~<;c.k
RECEIVED BY: ~~
-(
$ 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 ~ $ 40.00 ~()O
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
,
Nev, 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 vith Service
or Feeder Permit
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'3% Administrative Fee
TOTAL
$ 35.00
$ 2,00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00
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