HomeMy WebLinkAboutPermit Electrical 1996-6-25
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning L ~
Date, LP '1t:j. 4(;
97477 AUlho:ized Signaturo
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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.-.A. J~D.::'CRIPTION
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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.
ELECTRICAL PERMIT APPUCATION
::., ,hb Number q~ /3 ~
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or ~
Multi-Family per dvelling unit.
Service Included: .
Items Cost, Sum
v,nI\
3.
A.
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 Sf'rndtv Svstems or Relocation:
Address...l5..Q.l Pp~~rppr, Sni ,p R
Ci tY..E!J.ppnp, OR
Phone '\1.1-11.2-1111_
Supervisor License Number ..lUl27.T1.F.
Expiration Date 10/01/q~
Constr Contr. Number 59944
Expiration Date OI./?Q/Q7
Signature of Supervising Electrician
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Addressq~~ 1Y'\lt~1 '~I~ r1PF:~T ~tJe.
, Ci t~, t174;11 PhoneJ:;dJ. 4-&4. ~()7{)
OVNER INSTALLATION
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see nBIf above
,.
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00 70 00
Limited Energy/Comm $ 36.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
Ovners Signature:
DATE: ;:"/~-9C
RECEIPT 1:..2:2' /<? ;::>
RECEIVED BY: ~ 9~ '.
. 't!-
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
20.00
1.00
.60
21.60