HomeMy WebLinkAboutPermit Electrical 1996-8-28
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225 FIFTH STREET SS 1. -
SPRINGFIELD, OREGON 97477Dffie . '5!,.q/fi
INSPECTION REQUEST: 726-H~~rlzed Signature
OFFICE: 726-3759
1.
LOCATION OF INS;rALLATION .L1 j
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, JOB D~CRIPTIO~ ~ t A\
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Permits are non-transferable and ex 're
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~f:) t:Lec-~~~c
I3k.J&~ Sf
Phone fvr1!7-:;17o
Supervisor License Number 3<!7 ~ ~
Expiration Date }()J, fqj-
Constr Contr. Number /O,/iJ)"q
Expiration Date liNN?
I '
Sign~t~:L ~~ian
ownerJName ' . 7-(/ "
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Address
(7C;-r:o
cu.e;~_
City
"
City
Address
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------~-~~~~- - -
DATE: .' ;1("'}~YL
RECEIPT f: ?--... // I - "r>..-/
RECEIVED BY:)~ ~ J -LY L fa""",,,! ~ ..
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3. COMPLETE FEE SCHEDULE BELOV C1lo 114-C1
A. New Residential-Single or
Multi-Family per dwelling 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 Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
\
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
i
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
New, Alteration or Extension Per Panel
One Circuit / '$ 35.00 6?~~
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited EnergylRes
Limited Energy/Comm
not included)
,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Sur~~ge
TOTAl. 'Cl~
:3S--
_~/!.C 1.05
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