HomeMy WebLinkAboutPermit Electrical 1996-1-31
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~ ELECTRICAL PERMIT APPLICATION
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726A.il~&r&od Sign 're /::l.1J Cl ty Job Number 9 _c;"~c/
. 1. COMPLETE FEE SCHEDULE BELOY
LOCATION OF INSTALLATION
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
Electdca1 Contractor~~J k,rl
Address ?c{;) 0 L ) lJ ~
Cit~ \, ~.I1'.A~' Phone ~C(Lf -Qd-.f,
. J
SuperVIsor License Number
Expiration Date
Constr Contr. Number C, (C.( 1$
Expiration Date /' - ) ~ - 9 ?
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Owners Name j;;::evE .b?/'};Jf'~
Address
Ci ty Phone~7-?lJf';-1
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------~iC---------------------
DATE: //i/;1'G;.
RECEIPT 11: ,?" 2.d'S ~ I .
RECEIVED BY: - - /(/ ~
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
unit.
Cost Sum
$ 85.00
$ 15.00
$ 40.00 L--
$ 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
.
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with 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 :?/)ro
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
?.J) 6'0
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