HomeMy WebLinkAboutPermit Electrical 1996-7-30
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zenina (1 C
97477 '2 -/AI;-
726-37'6~1 -'L.I_
Autnorlzed Signature
1. LOCATION OF INSTALLATION
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LEGAl,- DESCRIPTIQ!l/7l/~ ~oGc:? 0'/5 OD
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JOB DESCRIptION
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Perm1ts are non-transferable and exp1re
1f work 1S not started wIth,n 180 days
of 1SSUance or 1f work 1S suspended for
180 days
ELECTRICAL PERMIT 'l\PLI~?N
C1 ty Job Number G\ \ Q( }-\ 10
'WI
3." COMPLETE FEE SCHEDULE BELO~
New Res1dent1al-S1ngle or
Mult1-Fam1ly per dwell1ng un1t
SerV1ce Included.
Items Cos t
Sum
1000 sq ft or less
Each add1t10nal 500
sq ft or port10n
thereof
Each Manuf'd Home or
Modular Dvell1ng
SerV1ce or Feeder
$ 85 00
$ 15 00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. SerV1ces or Feeders
Installat10n, Alterat10ns
Electr1cal ContractorADT Secur1ty Systems or Relocat10n
Address l~OI Pear] Street_ Su,te B
C1 tY.Lugpnp _ OR
Phone ~1']-11.7-1111
Supernsor L1cense Number R-1777JLE
Exp1rat10n Date lO/Ol/qh
Constr Contr Number 59944
Exp1rat10n Date 1./?Q/Q7
Signature of superv1s~lectr1c1an
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Owners Name st AI It" p '<: ('~ItQ( h
Address i5~{) 'r:: I S\-\-""A
C1 ty W,p\c\ Phone 'f::lb - ;/(,54
OYNER'\NSTALLATION
The 1nstallatIon 1S be1ng made on
ploperty I ovn Vh1Ch 1S not ,ntended
for sale, lease or rent.
Owners S1gnature:
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RECEIVED BY: ~
,
200 amps or less $ 50 00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100 00
601 amps to 1000 amps $130 00
Over 1000 amps/volts $300 00
Reconnect Only $ 40 00
C. Temporary Serv1ces or Feeders
Instal1at10n, Alterat10n or Relocat10n
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40 00
$ 55.00
$ 80 00
volts see IIBII above
D. Branch C1rCU1ts
Nev, Alterat10n or Extens10n Per Panel
One C,rcu,t
Each Add, t10nal
C,rcult or vlth SerV1ce
or Feeder Perm1t
$ 35 00
$ 2 00
E. M1scellaneous (Serv1ce/feeder not 1ncluded)
-Each 1nstallat10n
Pump or 1rr1gat10n $ 40.00
Slgn/Outl1ne L1ght1ng $ 40.00
L1m1ted Energy/Res $ 20.00
L1m1ted Energy/Comm 1 $ 36 00 36 00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Adm1n1strat1ve Fee
TOTAL
36 00
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