HomeMy WebLinkAboutPermit Electrical 1997-4-3
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225 FIFTO STREET
SPRINGFIELD, OREGON 97477 ,
INSPECTioN REQUEST: 726-3769
OFFICE: 726-3759 '
I; LOCATION OF INSTALLATION
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LEGAL DESCRI~ION
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~;I'''INU.FIELD
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number '9 7~"'O
3. COHPLETE FEE SCIlEOULE BELOII
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JOB 'OES~I~li,., ez, , ,
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Permits ate non-transferable and expire
if.~ork is not started within 180 days
of ,issuance or if work is suspended for
180 days. "
2. CONTRACTOR INSTALLATION ONLY ,B.
Eiectrical tontractor-::fKb E.IiZ..GtTic.. he.....-
Addre!ls u';;.1 .\)01') -Stre.e...-r
City' S;"t: I d. ' Phone /4-Io-cJ fa ~l..
SuperVisor License NUmber ~I t/'? S .
Expiration'Date l 'D- \ ~ q 7 .
Constt Contr. Number 4.$1"2..'::)
Expiration Date -+/-2.0 jGJ/
.. Signature ~t Supervi
, ,Owners Name L.. ;-;q~r;
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Addre~s-.O'7::' 7'~.c ~.'
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ci ty '~..........-_- ~.....Phone ~V.v,~y
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OIINER INSTALLATiON .
The instailation is being made' on
property I own IIhich 'is not intended
'for sale I lease or ren t.
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Owners.signature:
DAT~!~--~-~t~-!~-~----~----------~
RECEI PT II: '/") ~~....::::; /1./ 1'.. '
RECE1VED BY: .':11 ~ (ill ,<. ^ _
A.
New Residential-Single or
Hulti-Family per dvellinj unit.
Service Included:
Items Cos t
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd 1I0me. or
Modular 'Ollelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
'Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 "5't?
$ 60.00
$100.00
$130.00
$jOO.OO.
'$ 40.00
C.
Temporary Serv.ices 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
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One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 4r $ 2.00 ~A
no t included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
, Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
51 State Surchaige
31 Administrative Fee
TOTAL
$ 40.00
$_ 40.00
$ 20.00
$ 36.00
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