HomeMy WebLinkAboutPermit Electrical 1996-4-9
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The following projeot 8G eubmltle Ifle land .~.
zoning, and doen nol requIre spec ~II'
approval" I ~ V ELECTRICAL PERMIT ~PLICA~ON
97477 7o?'nn .0t, \ 1\,
726-37e~e L-(-' q -1 {o /jA/.. Ci, ty Job Number G\ I, (
OFFICE: 726-3759 ~EI.'{~
1., lA'.ne <f4TI,Iqr N.Q ~.~li(iTl'\'MJ.1 T}(l:O:".Z'(lSlj"atu"'- AJ-. E..' ~.... u." l,llIEDULE BELO\l
,~~~ t)\\\ ,n.~~ \ ~ ~ New Residential-Single or
,~ Multi-Family per dwelling unit.
\'\O'\EtmPTIOm\.DeJ Service Included: Items Cost
~~VDlfb~~ffi-D _!M)\ Ot,
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Permits are non-transferable and expire
if work is not started 'within 180 days
of issuance or if,work is suspenaed for
180 days.
225 FIFTll STREET
SPRINGFIELD, OREGON
INSPECTION REQuEST:
2... CONTRACfOR INSTALiJION ONLY B.
Electrical contracto~~ c::lD~~
Address. \), ~\) ,?:rn.. 9 A
city1O.il~OI\h- Phone 111o'1~
Supervisor License Number 835~
Expiration Date \f). \.~1
~ C.
Constr Contr. Number ~ '\0;;1..31\0
\\). f).~(p
Expiration Date
Signature of Supervising Electrician
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Owners ~am~ l ~JMl(\d ~
Address...dM-~-U[\ \ \ '\t\ S+-- ,
Ci ty S\.~ Phon';1~446
O\INER~I~T:LLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
DATE: y..q~
RECEII'T jj: .-:::<?b/~
RECEIVED BY: ~:f~-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
\
a
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
.'
Sum
$ 85.00
<65
f"]5
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less l
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00 1i2...
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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