HomeMy WebLinkAboutPermit Electrical 1996-8-12
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zoning, end doe. not require speclf1c land use
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225 FIFTH STREET
SPRINGFIELD, OREGON 97tfrt'ortzed SlgnEllure
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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ELECTRICAL PERMIT APPLICATION
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Service Included:
3.
A.
. JOB DESCRIPT~N, ~ ~ 1000 sq.ft. or less
.w R'7.iJ/~ /-~ /.p=......,- /-r.~ Each addi tional 500
/ '. .' , 0 . .' sq. ft or portion
Permits are non-transferable and expire thereof '
if york is not started vi thin' 180 days Each Manuf'd Home. or
of, issuance or if york is suspended for Modular, 'Dvelling
180 days. Service or Feeder
Address)/:56
Signature of Supervising Electrician
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'. Ownerli Name ~# ~ 4 E;?A/
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Address'3~'<? _ZJ./L~A!n,7!??
City 2:-___.-"'~Phone ~~S-~::2..Y
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OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: ~ .~-9.6
RECEIPT 1\: -::2"2!2.--::z /
RECEIVED BY: r2"~...<. ?~~
.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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00' o'
$ 60.00
$100.00
$130.00
$300.00
.$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
D.
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 ,amps or 1000
Branch Circuits
volts
$ 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 ~
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$ 35.00 7r
.'
$
2.00 ~
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E. Miscellaneous (Service/feeder not included)
-Each installation . '.
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00'
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