HomeMy WebLinkAboutPermit Electrical 1996-7-8
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION} 'd
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LEGAL DES~PTIO~
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JOB DESCll-lPTION \
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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 ~LdkAI~{ ~~~~
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Address "S'ZZ-) a,... r~ R.,b
City ~Cl...E>>>'"
Phone b'i><<s 17~<
Supervisor License
Number 6~'3. ~
10(0..<;<
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Expi ra t ion Da te
Constr Contr. Number \O,'-H~
Expiration Date
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Signature of Supervising Electrician
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Owners Name' IlAt;1A "- / )/r.( ,,,,J.~ e....
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Address ,)/ fJ /' f',ro...JoMi
Phone 3f11'70 ')... t:1
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DAT~~~~~~~----~--------~-----
RECEIPt 1I:udd..0g T/ '
RECEIVED BY: 7 ) . - (Yy::X},h N rt ()
ELECTRICAL PERMIT APPLICATION
City Job Number q COn 0':+({
COMPLETE FEE SCHEDULE BELOII *
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: ,
Items Cost Sum
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
,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
$ 85.00
$ 15.00
$ 40.00
$ 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 $ 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
o'
New, Alteration or Extension Per Panel
$ 35.00 35. (JD
$ /0. aV
2.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t c:;-
I
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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