HomeMy WebLinkAboutPermit Electrical 1996-2-20
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225 FIFTH STREET &"\ /"" /1/ _ / _ ELECTRICAL PERMIT ~L\IQCO~ON
SPRINGFIELD, OREGON 97477 D.tr=L-/~{!l)C7
INSPECTION REOUEST: 726-3A~:lodSl9.:mu ~..n City Job Number
OFFICE: 726-3759 re~_ ~
3. 'COMPLETE FEE SCHEDULE BELOY
1. LOCA'f.ION OF INSTALLA]:JON ---
Y!/ ~ S />"7~-v (.h7/!(t t='t/JM) A. New Residential-Single or '--,
Multi-Family per dwelling unit. ^.
\'1Y)~~.~ Service Included: Items Cost Sum
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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.
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
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
Installation, Alterations
, Electrical Contractor L.>/-?.?E E,c.e.. or Relocation:
Address
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City 5/' L~LJ
Phone ?.2."~'7 au
Supervisor License Number 30 -:2-3.5
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Constr Contr. Number :J.. 0 3 C;;... C;
Expiration Date /8 ~ C
,
Signature of Supervising Electrician
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Expiration Date
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Owners Name /7.o~1/
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Phone /' ~b Y? S.~
Address
,;;z.. G f!' Ef
City ~ QJ'
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DA~E~--------------------c;J~:~~
RECEIPT 11:. ..J \ l"\.J\ ' ,,~
RECEIVED 'BY,: "C'\\;l.JV'---'" '~.J
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
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C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit / $ 35.00 ].Jt> 0
Each Additional (
Circuit or with Service
or Feeder Permit / $ 2.00 ;)-00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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