HomeMy WebLinkAboutPermit Electrical 1996-4-26
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lb, followi"9 proiect as uubmttted h2s the f II
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225 FrITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974 77,uthoriz1X1 Signature
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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/70.2.3'3'1:< 03300
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
-:so\:, '*- d- '\ \ \ <=\ 'S
CONTRACTOR INSTALLATION ONLY
Electrical Contractor :'S,\-"'""c- ~ 1....+<\<:...
Address -;)'7D I ~\i. \14.~
Ci ty ~.A\o....A. Phone (~0'31 ;;)3~3 \
Supervisor License Number ~t?~~ ~
Expiration Date /0-/-92
Constr Contr. Number 'ILl!?;)?
Expiration Date 3- 1'1-'1P,
. Si~';ze7~cian
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owner~."~~e YI) (f:,,,o.v ~n'" -::::\" e{:......, L
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Address;.rsO() 5...... ~r"'~ ~'"'---.
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Ci ly~" ..-\-\......"Q 0" Phone
OVNER INSTALLATION
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ELECTRICAL PERMIT APPLICATION
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3.
COMPLETE FEE SCHEDULE BELOV
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3%, Administrative Fee
TOTAL
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see ttB" above
New, Alteration or Extension Per Panel
.'
One Circuit \
Each Additional
Circuit or with Service
or Feeder Permi t 5
$ 35.00 3S"0
IDO<>
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outlifie Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----i:t~~Z;:q-~------------------
RECEIPT 11: :2,a.nr'l
RECEIVED BY: tN'_
,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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
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