HomeMy WebLinkAboutPermit Electrical 1996-6-25
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SPRINGFIELD
zoning, and does not requlra specnic land usa
approval.
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Dolo u> '1..5 .qy,
225 FIFTH STREET AY\tlO~zed Stgnstura '/VI
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF ;!NSTALLATION
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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 1\l6ltA (s:".1 Eis:.7R.IL.
,
Address 32Z3 ~ M
Ci ty &.u;;H1~
Phone 0'Ce 17e.S--
Supervisor License Number ~-.;s.
Expiration Date /0;'/'6
Constr Contr. Number <9o-3c:r;>c..
Expiration Date IO/;/~
Signature of SUP~Electrician
M~_ --
Owners Name.I2"'u :S:C-ll..Kr--r-:K{)W
Address -s1.{77 ~/0
Ci ty <!.1 a rl Phone 72& 32:>Z.~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------r-------------------------------
DATE: \o--';;UI-fry,
RECEIPT iI: U,::}-d-/7 /
RECEIVED BY: n, J?1.;) o.J, (l d.a
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~O X Lf 0
3.
COMPLETE FEE SCHEDULE BELOV *
New Residential-Single or
Multi-Family per dwelling unit. ,
Service Included:
Items Cos t 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 "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit $ 35.00 35- to
Each Additional
Circuit or with Service t5V
or Feeder Permit $ 2.00 ~.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
27. OV
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