HomeMy WebLinkAboutPermit Electrical 1998-5-12
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SPRINGFIELD
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loning, 8lld no Pto/ecI118 IUbmltted
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Zen/no. (! U lIae
225 FIFTH STREET ~- f 7 !1~ -
SPRINGFIELD, OREGON ~_ nty)
INSPECfION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5755 Main ST
-l10~':f~IOto 8({)
JOB DESCRIPTION
Hook uo Comoressor nn Rn~f
City
JtH'Jor'":
Supervisor License Number ~~
Expir~tion Date 10/01 19R
Constr Contr. Number 1R497
Expiration Date 011101 On
ure o~ ~pervising Electrician
~~ '
Ow ers fe Albertson's Food stores
Address S7SS M~;n ~r
City Springfield Phone
746-1653
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owner~signature:
-,
DATE:, ----- F)~r-':-1
=~~DlI~~'\l '~ ~\\j ,
ELECl'RICAL PERMIT APPLICATION
City Job Number 'fA - ()S l{ S
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COMPLETE FEE SCHEDULE BELOI/ *
New Residential-Single or , '
Hul ti-Family per dwelling uni to ' "j'
Service Included: " ',1
Items Cost' Sum
3.
. A.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd' Home. or
of issuance or if work is suspended for Modular, 'Dwelling'
180 days. ,'M01'\CE~ "\F~~\(or Feeder
MIT SHALL EXP\R.. Wffi
2. CONTRACfOR INSTALLATlIWS l(jfH.1y- \'lDER T~ PES'~\ltl~e'S' 'or Feeders
AUTHORIZEDU Ot&fi~ation, Alterations
Electrical contractorBeif~AeANO or Relocation:
v PE~IOO.
Address 258S Rnn"p"p'r~\Il00P\' " 200 amps or less
, ' 201 amps to 400 amps
Phone461-0291 401 amlls to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
One Circuit 1
Each Additional
Circuit or with Service
or Feeder Permit 1
$ 35.00 1S 00
$ 2.00 2 00
Miscellaneous (Service/feeder not included)
-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 '.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37.00
1 RS
1 , 11
~a Or