HomeMy WebLinkAboutPermit Electrical 1997-10-31
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1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB D~SCRIPTION A :cr
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Permits are non-transferable d expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Co~ractor
Address ~ 'So $,rJ G~
Phone683 7S7l
Supervisor License Number 3 ls'1 <..f S
10/9 K
Constr Contr. Number 10 s6? 7
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Expiration Date
Expiration Date
Signature of
Ele
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Ovners Name (;,JeLL /'-7 '1 ~
Address
City phone]rL'-;?'OoJ
OVNER INSTALLATION
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:, /0/3'// I'? . ,
RECEIPT #: t' . r~
RECEIVED BY: Ift'/t. '/ c; 7
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ELECTRICAL PERKIT APPLICATION
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COMPLETE FEE SCHEDULE BELOY J!f
Nev Residential-Single or
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Service Included:
It ems
City Job Number
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
.B.
Services or Feeders
Installation, Alterations
or Relocation:
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ne fo/Jowin
zoning and g proJect as 9ubmmed
apprOV~1 does not require SPBClf7"c.' thde follOlVing
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225 FIITH STREET
SPRINGFIELD, OREGON"~ re n
INSPECTION REQUEST: 726-3769 - l'V\
OFFICE: 726-3759
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
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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
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One Circuit L- $ 35.00 35"'....0
Each Additional
Circuit or vith Service
or Feeder Permit 2- $ 2.00 ~
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
$
$
$
$
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