HomeMy WebLinkAboutPermit Electrical 1996-3-1
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The following prol~ ~~uire specifiC \and
zoning and doe9 n
225 FIFTH STREET appro~el. I' /II ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 i"" L.L/
INSPECTION REQuEsT: 726-3769 .:/j C)/. City Job Number~~
OFFICE: 726-3759 Dale..c1- ~ -l ~~
HPlgrR ........ SCHEDULE BELOV ~
1. LOCATIOli OF INSTALLATIOlfUlhorized Slgnetu"' I
u'7b:;>'" 49~ ~A:?"...p<-. A. Ne" Residential-Single or
. . /... u_~_ . Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/?..::r.z.~?2...3(- &>~ Items Cost Sum
JOB DESCRIPTION . '7)
pr.:; ~/~ ~v?CG" ?'.u.:..,~ ~~
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Permits are non-transferable and expire~
if "ark is not started 'within 180 days
of issuance or if. work is suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor_~dLSOtl. Efec1r;c',]"t.
Address Fo, (Jy{)'X .27
1-:71 7'7~
Phone qqa- -S'if/.f8
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1{),!.Q1
COJ>st,r Contr. Number q 'JqO ~
1'''- 'tq
Ci ty JiJndion (~'tv
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Supervisor License Number
Expiration Date
Expiration Date
Signature of Supervising Electrician
~Z~~:'-~'L~
Owners NameA.t,;q.H~""/ L., ~
AddressZ"5Y/ UL~ .dv~
- ,;
Ci ty -4!i~e;;?e Phone .!/$S--'A:?~
uWu"'" INSTtuZtr~
The installation is being made on
property I o"n "hich is not intended
for sale, lease or rent.
Owners Signature:
DATE: ?.y-%
R6vt.J.t'i 11: ~;5ii:G-::>
RECEIVED BY: ~ - ~ .
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 ~~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 ~~,~
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
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 --L--
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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