HomeMy WebLinkAboutPermit Electrical 1996-4-8
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The following project BB eubmltled has the 1011
",nlng, end does not require epoelflc land ueo
225 FIFTH STREET approval. I /J J::?) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlnq~(i/I......../ QS/57\J"\
INSPECTION REQUEST: 726-3769 L/ r/ q / A Ci ty Job Number U U
OFFICE: 726-3759 Dute - 7l - - >"
- ri' ad 51 a!U'" Y.1 A:l)KPLETE FE~CHEDULE BELOI1
1. LOCATION OF INSTWTION1hO Z gn ~1~-
Sj() /YJan.,.f0'p A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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055(57)
JOB DESCRI~ION
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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.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
it
Cost Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor, Son i t ro I Secu r j ty or Relocation:
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Address P.O. Box 21009
City Euuene
Phone 461-5678
Supervisor License Number 1'l!i'()JL~
Expiration Date /()-/-9?'
Constr Contr. Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
N1 +. ~ . IfI/\nd2rAJu ..
Owners Name LArgJ ; cJanl' f6!~h
Address <Sa me...
Ci ty Phone.2.!i/ -l.'31_:l"
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIVED BY: n-. mC<lC'rn'Q n .
. ~
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 40I" to 600 amps
. Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ~ $ 20.00 ~~
Limited Eneigy/Comm . $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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