HomeMy WebLinkAboutPermit Electrical 1996-4-17
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SPRINGFIELD
. . b lttad has the following
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zonln~l ;,nci does not require spec c n
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Authorized Signature. <. n
~ -b.
225 FIFTH STREET
SPRINGFIELD, . OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
,.
LOCATION OF INSTAL~ION r.
/ ~? /'t1iJJ/~~1 S-
LEGAL, ~SQU;PTION
/ /I () J.?-S'.3 .:J-.-
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor a-f;;~tI"A-,",7~_ ..
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
O.mers Name 1?-N'4 Ci/~."
, " ~ . 1. . . . -. -
Address/0Y~;"'.A,.#r-~h .
,
Ci ty ~~h;ne Q~-s:. ///~
- /~Y6/.
OVNER INSTALurTION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
t Ovners Si~ature:J
'iL.__/7: .
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DATE: -;2//5'15 . ~-r7-~t:r: .
RECEIPT If: ' ~.~.... .
A.
ELECTRICAL PERMIT APPLICATION
7bOH~
COMPLETE FEE SCHEDULE BELOY *-
Nev Residential-Single or
Multi-Family per dvelling unIt
Service Included:
Items . ~ost, Sum
City Job Number
1000sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular.Dvelling
Service or Feeder $ 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
$ 50.00
$ 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
$ 40.00
$ 55.00
$80.00
see uB" above
D.
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or vith Service
or Feeder Permit I
$ 35.00 J5: tlO
$ 2.00 ,2.0{)
E.
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5. . SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
...."...^T
$
$
$
$
3J. ~()
I f(.s
-J. J /
~L
40.00
40.00
20.00
36.00