HomeMy WebLinkAboutPermit Electrical 1996-12-13
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICB: 726-3759
1. LOCATIO~ OF INSTALLATION
C::;~ '7 ~ 6LA-tY ~
LEGAL DESCRIPTION
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JOB DESCRII7ION
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Permits are non-transferable and expire
if york is not sta,ted vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contl'actor L j-;= E/edr/c 'X:I7C,
_\e5S~ (\ \)r.
Phone q 5'-\ 'lo00~
Supervisor License Number Y /14 C,
Address '1 \ 0,
Ci ty F illg./\P
I
..Expiration Date \ () .-1 - q 5
Constr Contr. Number thSLJ"/S
Expiration Date '3' 50 - 'if",
Signature of Supervi~ing Electrician
f('~u)o.N9 j, [) ilM OwloJ/1
Ovners Name ])llA(A.J{; !<:<t/t:i If-:T.f
Address~:r I"~U~W:: ~
City ~, Phone_72.td~~rl'nO
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Ovners Signature:
~~TE~-------7j-lf]rc;---------------
RECEIPT j/: /40,/1) ,
RECEIVED BY: ( 7/ ~
ELECTRICAL PERMIT APPLICATION
~-Job Number
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3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof ~ $ 15.00 ~~
Each Manuf'd H?me. or ~ /:""'d~(I:LL"eN'/T)
Modular Dvelllng ~--T~' ~' j
Service or Feeder $ 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. 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80:00
see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith 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)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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