HomeMy WebLinkAboutPermit Electrical 1998-12-1
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225 FIFTB STREET 0'''0 l~ I Ie; tq
SPRINGFIELD, OREGON 97477- ,II ~L~.-
INSPECTION REQUEST: ~
OFFICE: 726-3759
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E!.ECTRICAL PERMIT APPLICATION
City Job Number fflq7t:i
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200 amps or less $ 50.00
201 amps to 400 amps. . S ,60.00
Ci ty, SPRINGFIELD Phone 726-6701 401 amps to &00 amps SlOO. 00
. onla~Q~qam~%Y~~~~OOO amps $130.00
Supel"visor License Number 3QeCJSITION.Or~g d by ~r~ua\MjYs/volts $300.00
follow rUles ""'''t' e tiffi~1SEl).!lliYh $ 40.00
Expi ra t ion Da t e 1 ntn1/9q t' _.'''r"tion Center. Those"oll OAR 952-001-
,'.OAR 952_001-00~thrft~gofi~g[lli8!~;'ces or Feeders
Constr ContI'. NumbeL- 9250er_~_"~"\IobtainCCJlll~tli\rlfth~lIe Alteration or Relocation
vv " - enter. (Note: the e e.~ '
Expintion Date 7/16/99 ca\hng~h~~eOregorW01i~ntWlllf-PtlpI;'ss S 40.00
nun'u'" .~, '1_BOO~-ilil~~),to 400 amps S 55,00
SiltDature of Supervising Electrici,Gj3nterlS Over 401 to 600 amp,. S 80.00
A ~ ~ - Over 600 amps or 1000 voits see "B" above
D. Branch Circuits
Owners Name :k-Jra...,/.) IF ''''1
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Address S 3 ') ~ ~,..v V-
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1. LOCATION OP INSTALLATION
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LEGAL 'DESCRIPTION
/7673'300 Ont;o
.~o~PLETE FEE SCHEDULE BELOV
-
Nev Residential-Single or
Multi.Family per duelling
Service Included:
A,
Items
1000 sq,ft, or less
Each additional 500
sq. ft or portion
Permi tS are non-transferabl~~lG~pire thereof
if ,:"ork is not ~tarted ,:,ith~i!lI~~~~day,s<<I-lALL EX_Ei\~IJJ:Mi'1l:uJ,1f f1~me, or
of 1ssuance or If york 1S susp'end-ea'VIlfo't" PIH6duJ!rr- o:I.>e'11hng
180 days, AUTHORIZED UNDER THI~l!m.9.~ l.gf~c!'l!eder /
2. CONTRACTOR INSTALLATIONC6'NtyENCED OR 11MBAs~fJi~~fQH: Feeders
ANY 1R"0!\Y PFRlnf) Installation, Alterations
Electric"l Contractor Able Electric or Reloe'ltion.
~Sll:!ION
Address 5511 MAIN
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uni t. .
Cost · Sum
S 1l:l,00
$ 15.00
$ 40.00 Y r.J. 0 0
.'
Nev, Alteration or Extension Per Panel
Phone
One Circui t
Each Additional
Circuit or vith Service
or Feeder permit
.I
'OVNER INSTALLATION
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
~Each installation
Pump or irrigation $ 40_00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installa~ion is being made on
property I ovn which is not intended.
for ~ale. lease O~ rpnt.
Ovners Signature:
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DATE: "..(, I 'f a .
RECEIPT #: I) ~;:r'1 /J
RECEIVED BY: wANd!
5. SUBTOTAL OF ABOVE
15% State Surcharge
3% ~dmini$trative Fe"
TOTAL
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