HomeMy WebLinkAboutPermit Electrical 1996-1-24
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225 FIFTH STREET J).-J)
SPRINGFIELD, OREGON 97477 ,\ulhoflZlldSl9natur.--F'~-
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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LOCATJ;!>~o ~ INrMALLAJ.'ION.. r .1 Dr
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LEGAL DESCRIPTION
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JOB DES~PTION .
S1pl"<i?i'\
Prew,'R..s;
Permits ~re non-transferable and expire
if vork is not started ",i thin' 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (jt'a.ICi.~ ~'
Address If (l ~ 0 L I V f..
City ~'A J ~~ Phone S'Vt{-P~.f 7
Supervisor License Number
Expiration Date
Constr Contr. Number (b 7'-/ I g
Expiration Date 7 /;~ /97
,...4 of 'oP"'.Zi!!::7Jd~
A~I/ /J! " 1l'>.k
Ovners Name j:u-/v.r ~- 13 ~
Address ?f1':U !?"lJ~ r f?LDr,
City <:~M-Jl Phone {(()' 3( 7<"
OVNER INSTALLATION
, The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
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DATE: f"Z -f/7'C;
RECEIPT I: '2L::>/sG ·
RECEIVED BY:~~
ELECTRT~61 PERMIT APPLICATION
City Job Number
9S"'1 21'~
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, COMPLETE FEE SCHEDULE BELOV ?!t:
Nev Residential-Single or ' .
Multi-Family per dvelling unit. ' ,
Service Included:
Items Cost Sum
1000 sQ.ft. or.less
Each additional 500
SQ. ft or portion
thereof
Each Hanuf'd Home, or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,n. '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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
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D. Branch Circuits
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Nev, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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