HomeMy WebLinkAboutPermit Electrical 1996-6-27
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The following project as oubmltted has the foil
zoning, and doaa not requlra apecific land u '
approval. II/(l ~
Zoning l. V
Data 10 '11' t:J Ii.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 AC1horlzed Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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 vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical ContractorLt S 81oJ:>rNo, 4~.
, I'
Address P. O. f?Jd, IJ-R~
,
City~^ ~~, Phone.1!l.I-1..1.~.k.....
superv~sor f!~ense Number 110 g b S
Expiration Date IO-I-q;?
Constr Contr. Number 03gL./.-q
Expiration Date q - 1- q '"
Signature of Supervising Electrician
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Ovners Name ('Iln,htJ~,' r\_lrnr
Address ~/)"5 ~.0t.
Ci ty~~~~~ ' Phone
O\INER IN TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
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DATE:. "'-;<~ ""9-::
RECEI,PT 1I: -:2::2.2./~
RECEIVED BY: ~~ .....
ELECTRICAL PERMIT APPLICATION
1v\
V'L~ ~v~ Number~~~
3.
COMPLETE FEE SCHEDULE BELOY
*
Cos t Sum
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circui ts
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limited Energy/Res _____ $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~:}.fl.0
5% State Surcharge (.1~
3% Administrative Fee I. QS
TOTAL 3'1. gO