HomeMy WebLinkAboutPermit Electrical 2001-3-6
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~ . e,"lau6!S peZ!JOuln\l DATE:M~R 06 2021
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(/ la~OJdjj~ "CTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOII
.
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION PL INSTALLATION
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LEGAL DESCRIPTION
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. ,J'pB DESCRIPT]ON. ~
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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.
.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
. Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
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
Ser~ice or Feeder ,$ 40.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
'I, , Installation, Alterations
Electrical Contractor_~S ~/c>crtlc1~~~.or Relocation:
Address a. L) . 'ReX. ) <,/y? '3 200 amps or less
~' . / (. 201 amps to 400 amps
Ci ty" . '.~A::;-_ Phone ",fb -&2 '?G 401 amps to. 600 amps
~u' 601 amps to 1000 amps
Supervisor License Number 3 V97 SOver 1000 amps/volts
/ Reconnect Only
Expiration Date 10/1/0 I
I
Constr Contr. Number 7 {) rfR9
I
Expiration Date );L/:;olo V
/ .
s~ature OJ Supervising Electrician
~/_<>.) !/ ~j~
owner~~_&h .e..L-~tJoo
Address f1S' ~Ob>-L- (JJU~
Ci ty ff (./0 Phone ?V7'-/S'"7Y
OIlNER INSTALLATION
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "Bll above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
I
?5:oP
$ 35.00
~
~.-
$
2.00
not included)
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
$
$
$
$
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