HomeMy WebLinkAboutPermit Electrical 1997-6-16
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOJ} DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor I-t~~ ~~<:
Address d9/90 {!h,co./ k?",,-k /2JJ,
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Supervisor License Number 5<)7;)-, <:, _
Expiration Date
10-1-98"
Constr Contr. Number 6.:1 <# ~ 9
Expiration Date 3-7'-7' 7
Signature of Supervising Electrician
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Ovners Name ,M~c ,J2....;s~
Address~? -Se'/t?;::;'J ~.(' .
Ci ty ?~..n Phone ?~~O.s&1/
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
DATE: ~-/tt,'1!?
RECEIPT #: ?/'o/~
RECEIVED BY:/;r~""" .
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BE LOll
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 Home, or
Modular 'Dvelling
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 $ 40.00
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
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35,00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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