HomeMy WebLinkAboutPermit Electrical 1996-11-6
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SPRINGFIELD
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974 7jJnto}l- (, --'i V ..
726-Al7.&9zod s\~natuf.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. .).p.CATION OF ]J~STALLATION t:l
~'-1l~ f}/1 ex M~ CV\..Q All
LEGAL DESCRIPTION
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JOB DESCRIPTIO~
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor_bvQd~(<:
/)11, .
Address
9'f~
OLIVE.
Phone ~ .,)W.s:j;Jj7
City Cl.()/.../---(",
Supervisor License
---
Number
Expiration Date
Constr Contr. Number G 74/ S
Expiration Date -7 /J2 /9 7
, / /
Si!n:;;~;;;~ '
Owners Name f -(,{ I.... V' i? fl y~
Address .?!"?J ;?"VU'- Po,.Je
City (c...r~ Phone ~('-.l/7(;,
/
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
------~T-------------------------------
DATE: ;/- ~--7" ' ,
RECEIPT II: r'l:+ '( 7 J ~
RECEIVED BY' /'7. oY1-tL~
)..)yV\-
ELECTRICAL PERMIT APPLICATION
Ci ty -Job Number 9 ~ / (]. 5"0
3.
COMPLETE FEE SCHEDULE BELO\I ~
New Residential-Single or ~
Multi-Family per dvelling unit.
Servi ce Included: ~
A.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 "Bft above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
I
$ 40.00
$ 40.00
$ 20.00
$ 36.00
0-0. (JV
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. (, (/
':+-1. I" 0
"
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5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL