HomeMy WebLinkAboutPermit Mechanical 1996-7-8
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225 FIFTH STREET ll:!1...lL ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97~'fI . .
INSPECTION REQUEST:' 7~~Slgnalure ~ Ci ty Job Number ~P..B"72....
OFFICE: 726-3759
Signature of Supervising Electrician
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.::.- 0 ~,; ~ .D. Branch Circui ts
Ovners Name pr(\+'''''''''~''ft ,(ll\(\, . JiJrru
.~. - ~ev, Alteration
Address..fll-l-q 'ffin.lln.J ~.
CitY~\~f\~PhOne~
OVNER INS<+~LATION
1. LOCATION gF INSTALLATION
~(\ I IY\t..All~ hT,
LEGAL DESCRIPTION
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JQB DESCRIPTION . .
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
o
Electrical ContractorC'~S <"~~.
Address P.D, ~ 14-&1-
Ci t~; , ~ ~ l Phone ..2!1./-1/J. '3 In
super~~sor L9~ense Number I b g b S
Expiration Date
,()~ I -H,
().~ 5l'4Q
q-I-%
Constr Contr. Number
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovne~s Signature:
---------------------------------------
DATE:_ .. 7-<~~_
Rr,l."'J.r! fi: ~2 '"$-'3;5 .
RECEIVED BY: ~~:e---r
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
"
or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 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 $ 36.00
5. SUBTOTAL OF ABOVE
5% State Sur-charge
3% Administrative Fee
TOTAL
35',00
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