HomeMy WebLinkAboutPermit Electrical 1996-4-12
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The following projacl 88 oubmlllad has tile fe1
zoning. end doe" not require specific land use
approval. .
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225 FIITB STREET oate-.!J.::J 2.. -'1 {,P
SPRINGFIELD, OREGON 97471 ~
INSPECTION REQUEST: 726~'gljZad SIgnature
OFFICE: 726-3759
1. LOCATION ~p. :j;NSTALLAT!9N . .1
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I LE~AL .Q~CRIPTION / ""63,
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JOB DESCRIpt.lON '
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Permits are non-transferable and expire
if vork is not started vi thin' 180 days
of, issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor JYal.fl. rfr "'f,.
, '
Address YL/~ dL { (/ E-
Ci ty. ~UJJ>"',.J., Phone Jt.j t{ - q;) g7
Supervisor License Number
~xpiration Date
Constr Contr. Number G 7l.f1.<:'
7// ~ In
I I .
~~~~~ViSing Electrician
Fu..fu.V'e 'X 'I (~ D.
~~ B ,ft'lJ-VL ~'>'IJ j)f.
,'''/95'-3/76
Expiration Date
Ovners Name
Address
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Ci ty ("IJ 'JQ-AJo.JL Phone
O\INER INSTALLATION
"
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-~~----------------------------
DATE: '( -/2 -9&
RECEIPT lI: ( IL / ()r~..s
RECEIVED BY: n ' /Y) /'lcf':./'ilJ ()
ELECTRICAL PERIlIT APPLICATION
c''>. Job Number qSI g). y
3. ' COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or ~
MUlt,i-FamilY per dvelling uni "
Serv.ice Included: '
Items Co t
.
A.
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
'Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 40Q amps
401 amps to, 600 amps
601 amps to 1000 amps,
Over 1QOO amps/volts
Reconnect Only
$ 50.00 "
$ 60.00
$100.00
$130.0Q
$3QO.OQ
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 6QO amps
Over 600 amps or 1000 volts
$ 40.QO
$ 55.00
$ 80.QO
see liB" above
. .'
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feedel' Permi t
$ 35.00
"
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
. !.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$40.00
$ 40.00
$ 20.00
$ 36.00'
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