HomeMy WebLinkAboutPermit Electrical 1996-8-15
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726",J},(i~ed Signature ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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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,
ELECTRICAL PERKIT f\A[PLICATION
f';.y ~ob Number L\\Q.octC{() .
COMPLETE FEE SCHEDULE BELOIl *
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
3.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15,00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor,Sonitrol Security or Relocation:
\
Address P.O. Box 21009
City Euuene
Phone 461-5678
Supervisor License Number
Expiration Date
Constr Contr, Number 65149
Expiration Date 6-28-96
Signature of Supervising Electrician
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Owners Name ,f<o..",'n -T/'rl' l /) 7f-lI/J.!( ,
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Address 3/(J3,":l,
Ci ty (JIJ bura
V'
Roberl~ /(of,
Phone 3'-/5- q/2/)
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
~ATE~------~-:~~-~-c;-----------------
RECEIPT #:' 1-.'2'1:.(." 'L
RECEIVED BY: '1/ c:..
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
,$ 35.00
$ 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 --L-- $ 36.00 ~
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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