HomeMy WebLinkAboutPermit Electrical 1996-6-25
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SPRINGFIELD
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225 FIFTH STREET Authorized Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
~~IONrXFc~~xl-tt~~-1" DR
LEGAL D~qp:PTION
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JOB DESCRIPTW~ ./, .,1 /'
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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 B.
Electrical contractor~~~ H, ~I
Address qL.(-2.. ()..!v( ':Sf
City~~ Phone3~'-f -'l:.W
Supervisor License Number
Expiration Date
Constr Contr, Number G1L./-15
Expiration Date 1111---1~(."
Sirrit~ (~lJirViSing Electrician
own:;s Name ~~(6\ ~5
Address, 3~~ r<~verz POOJ(6 U
City ~ Phone Lff5-311C:::.
u
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE;-----~-::~~'l~~---------------
RECEIPT JI: z..:c../I /
RECEIVED BY: VI::?
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3.
"-=\:i,'tU.CAL PERMIT APPLICATION
City Job Number?5/ 70/
New Residential-Single or ,~
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Service 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
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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps'or 1000 volts see "B"
above
D.
Branch Circuits
.'
New, 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)
5.
SUBTOTAL OF ABOVE
5% State.Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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w.of)
40.00
40.00
20.00
36.00
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