HomeMy WebLinkAboutPermit Electrical 1998-6-4
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""'~'''~I',:,JI''5'1'1l~1/i).M COM..~~~,,!DER PIRclpfi;.: ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON~Tik~OR..'''''Jfj$Pi!J :fWOR. Uv-
INSPECTION REQUEST: 72~'PJi'~PEP/SABAND' RM1rISN, 1lCity Job Number -fo 0 2\?0
OFFICE: 726-3759 '7IOD ONEDPflA Or
, 3 . ~MPLETE FEE SCHEDULE BELO\l
1. L9c~:tPN Of. INSTALLAT~N
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor
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Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
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Ovners Name I /l~ S..-o..; /HZ. 'I
Address /-67,) /J,A(!..{2,1l1L OIL,
City SOP, Phone 7L\7-7r"f76
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Olffiers Sign~ /~-
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RECEIPT If: II 50/77'.. ,~J
RECEIVED BY: ...v w.w
. 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 Reloca t ion:
200 amps or less
201 amps to 400 amps
qOl 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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Nev, Alteration or Extension Per Panel
{
$ 35.003. (00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t , 3-,' $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
6/00
t.
2.00
not ,included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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