HomeMy WebLinkAboutPermit Electrical 1996-2-6
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SPRI~'ELD ",",_" ,...
The following "coloet as submitted has the f
zcnlng, and doc:) no( require spwtflc tend
approval.
DJJY Zonina q ()
0010 r;jif;/cr5(p
97477 I' I
726_376~hortzed SlgrlsMe IO~
225 FIFTH STREET
SPPcNGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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~ DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. <;ONTRACTOR INSTALLATION ONLY B.
..Jah -:tt. t.l-l[o U4>
Electrical Contractor c,.,j-Ic-\ Eklli;<L.iON-j6"1'l
Address_ 9~d f\~ '?,\-o ~\"'-I\'~
Ci ty ..:1?^a*,-<r<"\A Phone<?~a'6d-JSq<:p
Supervisor License Number I'-I'I(QS
Expiration Date
E~CTRICAL PERHI~APPLICATION
;;uJ ~uu Number V\6\) \CO~
"H *
3.
COMPLETE FEE SCHEDULE BELOV
Cost
Sum
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
$ 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
Cons tr Con tr. Number ;)(0- 'l,11 'R C~
Expiration Date \CJ!,\q(O
Signature of su~sing Electrician
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Ovners ~ "-~. S:6t1 ~~~f\ ~On
Address 'C1~'l.r1Y\ '1.1\ )
City~' 'Phone(50~\r;,l(7-'ilI(o/
'- J
OVNER NSTALLATION
Items
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
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
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 tlB"
above
"
Nev, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
.3~
$
2.00
v~
-'-
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit ~
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 I $ 36.00 .,a.......!
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
'D~TE~----------------~JG)~lUi~--~---
RECEIPT #: \ 1 , t'f\l\~f\
RECEIVED BY: "Ch\4}J olvv'
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