HomeMy WebLinkAboutPermit Electrical 1997-1-23
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225 FIFTH STREET ioning~1L-
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: . 726f!J769 )-))'-11
OFFICE: 726-3759 . AlrthorizedSignature t\J Y1.
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspende~ for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~~ ~v
Address~t "70 I?v~?- $r
Ci ty f;;,;V;EJJe Phone Ll-gLl-11-12,
Supervisor License Number 1-1 z..S'S
Expiration Dater" -'i'i>
Constr Cont~., Number 41:;,
Expirati'on Date '1-/q 1 .
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oY~er's ~ame(\tJl..~ c;~'",
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Ci tye' ~ i\...'V (,~ Phone ~ L -<:7 z. 'if 9
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
--------------~-----------------------
DATE: i-2;:-(7
RECEIPT 11: f.)1"4"IJD
RECEIVED BY:~':
ELECTRICAL PERMIT APPLICATION
, A.
City Job Number q/I:'I../
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Multi-Family per dyelling unit.
Service Included: .
Items Cost , Sum
1000'sq.ft., or less $ 85.00
'Each additional 500
sq. ft or portion
thereof' $ 15.00
Each Manuf'd Home. or
Modular'Dyelling
Service or Feeder $ 40.00
B.
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'
Ney, Alteration or Extension'Per Panel
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($ 35.00 36-
. rJt?
$ , 2.00 If---'
One Circuit
Each Additional
Circuit or vith Service,?
or Feeder Permit ~.
.E.
Miscellaneous '(Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36,,00
not included)
5.
$
$
$
$
:J, r. /p
/,[7
,(7~,7.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL