HomeMy WebLinkAboutPermit Electrical 1998-5-5
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Dale C;/ '5-4 0
225 FIFTH STREE~~ Sl~",^
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor<;~.--//prprl-ll""/')MIYJ. s:AK..
Address ;::;'/). /-/J'y. 9~.., 7
Ci ty AFI1JJ'J
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Supervisor License Number 21''1// -rIF
Expiration Date //7 -/ -9C?
Constr Contr. Number 9 - / 99 c/,::'
Expirat'on Date /O-/-q~
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I SigIJ ture of sup<<:rvisinj Electrician
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," Owners Name.A'P4/J -r p",JIl. TAl /YIr/.J..El(
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CitYSPRrfiJ,;.,t.rP-/l? Phone7~0;" 9/2.7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent,
Owners Signature:
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DATE: ~L!/ Y25>
RECEIPTli: '.' "2..~?
RECEIVED BY: ",y'/'" ..........., -, .
3.
ELECTRICAL PERMIT APPLICATION
City Job Number?I/~5h
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included: . .
Items Cost Sum
A.
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
.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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less ·
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit above
D.
Branch Circui ts
"
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
'- $
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