HomeMy WebLinkAboutPermit Electrical 1996-4-23
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SPRINGFIELD
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97477.', Zoning L'\\ ELECTRICAL PERMIT APPLICATION
726-37&9:,\0. L{ - ~ -:S-<1j.. Ci ty Job Number '9~..." '7
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1. LOCATION OF INSTALLATION
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:,
OFFICE: 726-3759
LEGAL DESCRIFTION
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A!~B_DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
A.
Nev Residential-Single or
Multi-Family per dvel1ing
Service Included:
uni t.
Items
Cost
Sum
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorADT S~curitv SVRt~ms or Relocation:
Address_l ,01 P~~rl Str~et. Suite B
Ci ty ElI\f~T1P. OF
Phone ,41-14)-1111
Supervisor License Number R1777.JLE
Expiration Date 10/01/Qfi
Constr Contr. Number ,RR44
Expiration Date 04/?Q/Q7
Signature of Supervising Electrician
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Address/L/-.:2j mF.J10 LdMt'
Ci ty0f~1 I) "C'> IL Phone SdJ, 7";'7./'(..'""
OIlNER 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:
RECEIPT I:
RECEIVED BY:
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
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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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 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
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
1.00
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21. 60