HomeMy WebLinkAboutPermit Electrical 1997-6-3
The following pro'ect as .
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225 FIFTH STREET Dtrla~ r. \ -q7
SPRINGFIELD, OREGON 97~7~
INSPECTION REQUEST: 72'6-'!1S9Slgnature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIFTION
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JOB DESCRIFTION
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor )J~w 1u.1 [Jc~./r~''''
Address PI) 6dX 2/S-o"3
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Phone e,,:, ~ ZJ/."-
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Supervisor License Numbfrr ~,~
Expiration Date /0/1 9'7
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Constr Contr. Number 2-6 /' / de:;. c
Expiration Date /0/1 /97
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Si~~ o~ s~e~~g Electrician
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Owners Name J/uI'.H,...5 /h~/u__ L..""",y
Address '1/.1/ 1'-1.,:", s"
Ci ty '5P(/) Phone
OIINER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ~- '3.?'.?
RECEIFT 11: ~e>:2 /
RECEIVED BY: /~
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ELECTRICAL PERMIT APPLICATION
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3.
9 '7/J6 b/
City Job Number
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Su:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular. 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
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"-
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see I1B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit -M:- $ 35.00
Each Additional
Circui t or wi th Service Ii J/::"
or Feeder Permi t '2.1... $ 2.00 ., 'f
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightinv $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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