HomeMy WebLinkAboutPermit Electrical 1996-1-23
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225 FIFTII STREET
SPRINGFIELD, OREGON
INSPECTION REOUE.ST:
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if. york is suspended for
180 days.
2..' CONTRACTOR INSTAL;JION ONLY B.
Electrical contracto~~ ~Lo~~
Addres9, \)J\)?:oL 9 A
city\{\~l~Ol\b.- Phone 1.1io'1~
Supervisor License Number ~::)~~
Expiration Date \'(). \.~
Constr Conn'. Number ~ \ O;L~ I ~
\\). ~.~
Expiration Date
Signature of S~rViSing Electr. ician
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~ D.
Oyners ~me ~ ~r
r
Address 9~~'// ,7,
City ~~~ Phone 7~/"';7Nf
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
.
Ovners Signature:
--------------~-- ---7--.--------------
DATE: /. .:2.3 '0. .
RECEIPT II: ~
RECEIVED BY: .-f/~.
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3.
ELECTRICAL PERMIT APPLICATION
q~t9CJ34
Ci tv J.ob Number
COMPLETE FEE SCHEDULE BELOY
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
"
Items Cost
Sum
1000 sq.ft. or less "- $ 85.00 ~5.60
Each additional 500
sq. ft or portion
thereof 2.. $ 15.00 .J"6',dCl
Each Manuf'd Home or
Modular Dyelling
Service or Feeder $ 40.00
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
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 volts
$ 40.00 ~~
$ 55.00
$ 80.00
see "B" above
Branch Circuits
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
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'..J6r'
1/-"1~
..,...., ..
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL