HomeMy WebLinkAboutPermit Electrical 1996-11-1
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225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
437 Main
U, S ~;:;k DES~n;ceJ ~ -:s~.z J II 200
JOB DESCRIPTION
Connect furnace
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Date: 11/01/96 Job # 69610-99-038
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Linneo Electric Co.
Address PO Box 925
City Albany, OR
Phone 926-4266
Supervisor License Number 3257S
Expiration Date
10/1/98
Constr Contr. Number 22-15C
Expiration Date 10/1/97
Signature o~ Supervising Electrician
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Owners Name /--1 <) ~/L
Address.LU-S 1,0 Sf-A. Sf,l.! (-
Ci ty _P nr tJa<<J Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
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DATE: _ If / U'lfp .
RECEIPT 1I: ~ '2!>:7
RECEIVED BY: ~""'''L
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_' ~CAL PERMIT APPLICATION
City Job Number 9&1#(;,
3. COMPLETE FEE SCHEDULE BE LOll
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation: .
zOO amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
zOO amps' 'or less
'ZOl 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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New, Alteration or Extension Per Panel
One Circuit 1
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35.00
$ Z.OO
not included)
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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35.00
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