HomeMy WebLinkAboutPermit Electrical 1996-1-3
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SPRINQFIELD
Zon:na r .~ ELECTRICAL PERMIT APPLICATION
97477 Dnte \ - 3" -q &; 7
726-376":1 . '_ 1"'\. Ci ty Job. Number ~~aD I
Authcrtzad Signoture ~.J
3. bHPLETE FEE SCHEDULE BELOII ~
LOCATION OF INSTALLATION
ji 50 /Y7'p)~ A. Nev Residential-Single or
Multi-Family per dvelling unit. .
LEGAL DESCRIPTION Service Included:
/7(') 'Z- , ~ ~ 2- r:>:L'7aB
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
Jon DESCRIPIlQN
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Permits are non-transferable ~nd expire
jf work is not started within 180 days
of issuance or if work is suspended for
1!l0 days,
2. CONTI~CTOR INSTALLATION ONLY
Electrical Contractor ABLE ELECTRIC
I,ddress 5511 MAIN
Ci ty SPRINGFIELD Phone 726-6701
Supervisor License Number 3023S
Expiration Date 10-1-91'
Cansti' Contr. Number 92506
7-16-9~
E>:pi ration Date
Signature of Supervising Electrician
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Uwners Name ~r .+'}rf-(1"f{r
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Address
Ci ty
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Phone g -
OI/'NEH INSTALLATION 7~'-72~
The installation is being made on
property 1 own which is not intended
for sale, lease or ren t.
Owners Signature:
DATE: //3/?~
RECEIPT H:, ./'l~. . c;-:-
RECEIVED BY: 'd ~^'.
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Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less i
201 amps to 400 amps I
401 amps to 600 amps
601 amps to 1000 amps
Oyer 1000 amps/volts
Reconnect Only
. $ 50.00 (il. a 0
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00; .
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
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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 )0. (J /)
5% State Surcharge )",,50
3% Administrative Fee 1<0
TOTAL #"~I1"
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