HomeMy WebLinkAboutPermit Electrical 1996-7-24
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225 FIFTH STREET AuthorIzed Slgnalure
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION.QF INSIALLA~O~
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LEGAL DESCRIPTION
17 (]? 2,0 (/0 D(J 10
JOB DESCRIPTION
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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.
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" 'Electrical Contractor L i'n ~-z..:r
Address !.6.btJ?( nn'"';.
Phone 7'-"1 -oct '-IS'
Number -:3S S3 <;
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CONTRA~OR INSTALLATION ONLY
Ci ty ~V I, .
Supervisor License
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Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
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Owners Nam~ (J. ~ . wesT
Address ' "30:;0 IJ. !Jt;:""L/-r!f
City '/Pub~ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
i
DATE~-------~~-ij~~C;;----------------
RECEIPT II: l1.J.01
RRr.F.lVED BY: 11/
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. ~LECTRICAL PERMIT APPLICATION
City Job Number q CeoqqLI
3. COMPLETE FEE SCHEDULE BELOY
New Residential-Single or . *
Mul ti-Family per dwelling uni t. ,,','
Service Included: . "
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50
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
D.
Branch.Circuits.
$ 40.00
$ 55.00
$ 80.00
see fiB" above
"
. New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
'$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
'Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
. TOTAL
$
$
$
$
'50.aD
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"'fiJJD
40.00
40.00
20.00
36.00'