HomeMy WebLinkAboutPermit Electrical 1996-4-11
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SP.GFIELO
The followfng prolad all eubm~ Mlll"',~ wll9.
zoning, and cIoe$ no! reqwre ~il\Q l;>,~ \l6Q
approval.
Zonina ;:frO f2-,
97477 DBle~ _ JJ
7i6-:W.g~r1zedSlgnatu"' r r-- r;." T9b Number
I
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~~~ O\l~ThLA~
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\,Lffl_~ON f'{) \D \
JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICAtION
(\\rAt~
..i< ~
"
3.
COMPLETE FEE SCHEDULE BELOII
A.
Ne" Residential-Single' or
Multi-Family per d"elling
Service Included:
Items Cost Sum
1000 sq.ft. or 'less $ 85.00
Each addi tional 500
ft or portion .,
sq.
thereof $ l,5.00
Each Manuf'd Home, or
HodularD"elling
Service or Feeder $ 40.00
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2. CONTRACTOR INSTALLA~ION 0 Y, B. Services or Feeders
_ '/.1 ,~/~/' Installation, Alterations
Electrical Cont~acto: /~~~Cd~~~ '01' Relocation:
'. The installation is being made on
~property' I o"n "hich is not intended
tor sale, lease or rent.
Ovners Signature:
---------------':7~;~------,----------
DATE: ~ J:tP
RECEIh iI: . ...;;;V~~
RECEIVED BY: ~
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps. $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
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
D.
Branch Circuits
Address A/5.. /0 t'?
Ci ty ~/7/ ~dl Phone ?2?:--5'J'o3
Supervisor License Number 2~;/,t C
Expiration Date /o~/ /7?
/' /' .
Constr Contr. Number 2o-/;l2C
Expiration Date /h /c;/ /7 t
, ,.,Sign~$~lectrician
, - / /; f\" 1\
,ovners Name..J.:U A II. ,
,,'Address \ \ () .l?) (\1' L
.::: ~ity , toaQ ~<L_Ph ~e lo_~ ."tun
01lNER I~TALLATION
$ 40.00
$ 55.00
$ 80~00
volts see "B" above
Ne", Alteration or Extension Per Panel
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One Circuit J $ 35.00 J~.Q:>.
Each Additional
Circuit or "ith Service t.tW
or Feeder Permit ?. $ 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
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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