HomeMy WebLinkAboutPermit Electrical 1996-9-26
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SPRINGFIELD
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FPpr'::Oal.. III
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225 ,FIFTH S.M.". () , () I ^.'-l ( "
SPRINGFIELD, OREGON 97477 D<t.,"~~
INSPECTION REQUEST: 726-31.~~,orlzod Signature
OFFICE: '726-3759
1. ~~T~N
\1") K:1?l~m3Ifa If)
w1~B .T<;~r~ ~iA(l1'1
permi ts ar ~on-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
Electrical Contractor
Alert Electric,
Address 1970 N. 28th
City~orinafiplrl
Phone
747-??11
Supervisor License Number
34015
Expiration Date -lU-01-9f
Constr Contr. Number 211 s3d :;!.11lC.
1 ~_n1_Q4--5.1..,7-:'11
Expiration Date.
;,
Addres!\, ~ Ff:) \ rraJ\())l.o..J
Ci ty..)1 ~ ~ Phone
O\lNEk ~TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATi~-----------~--~~~-~~---<:t-
RECEIFT, I: ,J" ",,\ 11\ \cii
RECEIVED BY:~~~, )0-
ELECTRICAL PERMIT APf\LICATIO", '\
Ci t~:-Job Number _ \.\ \c[io ,"'1)
",H. *
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'W'
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Mu1ti~Fami1y per dwelling
Service Included:
Items
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
Inco~ 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
Cost
Sum
$ B5.00
$ 15.00
$ 40.00
l
fjO
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D. Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with servic~f)
or Feeder Permit rV $ 2.00
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
TOTAL '
~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
trA .00
B. 7 G.-
, ~.i7_
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