HomeMy WebLinkAboutPermit Electrical 1996-9-3
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225 FIFTH STREET '
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477 NorthorlZed Signature
726-3769
3.
1. LOCATI9N OF .INSTALLATION , '
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LEGAL DESCRIPTION '0 D , '
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. jJOB D~CRIP,TION
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Permits are non-transferable and expire
if york is not started Yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Kif t r/d~
Lddr~ss t,dv ~-M brtfJ f~
Cityn,lJJ/ Phone '71f/;'d)-663
Supervisor ~cense Number ~~\
Expiration, Date (]Je-i J IfF?!
, , ' ,)
Constr Contr. Number J>')A-fl:;2......
Expiration Date AJ.v 't" /CJ7b
Signatu.r~supe&ing Electrician
~~ Lf:;::,
/'--_____ ..... 1 ,- -
Oyner-s Name J;:'d;-;'" n ./
Address 1041( 57-fh
City~rr?-
OVNER 'INSTALLATION
Phone
01
7l/7.'/t!,:}.f./I,
The installation is being.made, on
property I OYn yhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: g.-Y-.?b
RECEIPT 11: '2 "'?.t> VI../
RECEIVED BY: "./ L/'~ -
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ELECTR,ICAL PERMIfflPLICATION ,),
City Job Number '-/Hi; Oq I (\
~OMPLETE FEE SCHEDULE BELOY
Ney Residential-Single or
Multi-Family per dvelling unit.
Service Included: '
Items
Cost
Sum
1000 sq.ft.'or less I
Each additional 500
. sq. ft or portion
thereof l..jI
Each Manuf'd Home, or
Modular Dyelling
Service or Feeder
$ 85.00S;;S-Cl-,
$ 15.00 foG tj
$ 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, Alterati6n or Relocation
'200 amps' 'OT 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
.'
Ney, Alteration or Extension Per Panel
'One Circuit
Each Additional
Circuit or Yith Service
'or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi,ted Energy/Res
Limited Energy/Comm
not included)
40.00
40,.00
20:00
36.00
5.
SUBTOTAL OF ABOVE"
5% S ta te Surcharge,
, 3% Administrative Fee
TOTAL
$
$
$
$
140 e
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