HomeMy WebLinkAboutPermit Electrical 1998-5-12
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~a W~~~sidential-Single or
~u~~i-Family per dwelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCAJION 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.
ELECTRICAL PERMIT APPLICATION
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor. Son it ro I SeclJ r i ty or Relocation:
Address P.O. Box 21009
Ci ty ~uuene
Phone 461-5678
Supervisor License Number ~~-,-
Expiration Date. JoJ I Jo/l
Constr Contr. Number 65149
Expiration Date
6-28-00
Sign~~~ician
Owners Name "Q~ < \(')nllf\~on
Address3l'C:6 m~ Qt-.
Ci ty~ '\) l:n~l ood Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t.
Owners Signature:
---------------------;T----------------
DATE: t;;-(;>.- '7 'b
RECEIPT 11: '\. ' 2q ~I('-V .
RECEIVED BY: d<'.LI)
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
*
Cos t Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
S 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
D. 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 $ 36.0~~
5. SUBTOTAL OF ABOVE d!.E{ fl_ 00
5% State Surcharge I.~
3% Administrative Fee \,(:)'0
TOTAL .j\ ?>'r'-.al?,