HomeMy WebLinkAboutPermit Electrical 1997-10-13
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LEGAL DESCRIPTION ;{ ~ ~ g'
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.-,., JOB DESCRIPTION ;::: g,~ tJ ~ _
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Permits are non-transferab~ aad~x~re
if work is not started within )gg ~s
of issuance or if work is suspended for
___180,_days,
DateLD--t-J,- "'t
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225 FIFTH STREET Authorlzecl Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
10005 'fila.-< r)
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Mi,<:,1lA.p_ \ ~ ~l..
Address (0005 (V\,p,j '^-
CityS(~M~R \cl Phone 7..;L{,-R:fR
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Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
~ to
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Owners Name ~1.c-\"rt:L'" \ ,~.
Address /., 0Jr) ~ 10 tA; 0/\
Ci tY')(7 ~ 1'nN: ~ \d Phone ?.2 ~ -f!7C{7
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OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Own~~:crO J (t p tL
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DATE: /0-/3-97
RECEIPT 11: d-7e",Qn
RECEIVED BY: ~
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number q i J <fCf 7
COMPLETE FEE SCHEDULE BELOV .
New Residential-Single or 1<
Multi-Family per dwelling unit.
Service Included:
Items Cosn Sum
.
1000 SQ. ft. or less $ 85.00
Each additional 500
SQ. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service ,or, Feeder $ 40.00 ~ ...--. --.....
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
$ 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 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
$ 35.00 3'5.-
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Jlae;. .-
5% State Surcharge .Ji I~ ~
3% Administrative Fee J IOS
TOTAL <# ,""'7. 'lfV