HomeMy WebLinkAboutPermit Electrical 1996-1-18
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SPRINGFIELD
The td!owing proja ~ require ~pocific land use
zoning, and does n
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
97477 AuthortzOO SIgnature
726-3769
1. LOCATION OF INSTALLATION
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I LEGAL DESCRIPTION
( 63 <,{~ Lf~
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JOB DESCRIPTION
II l-lMJ a"n. C\ , . 1.,11 1\ IY\ C\J1ll)
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
o
Electrical contractor~f"~ p~q{\'ti\l{\l,~,
Address P.O, ~ 143'J-,
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Cit~~~\\.\el..J Phone'1J././-1'A31::>
Supervisor LIcense Number 1 b 21" S
Expiration Date
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Constr Contr. Number 03$llj.J!
Expiration Date q-I-qlo
~~~:ng Electrician
'-
Ovners Name..RM 0 iYY\ 111\ I I)
Address f.o. W,q~
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Ci ty II II\H\(\.ll'\,.1 0 0 \ Phone '144- -Ioqq '1
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Ovoers Signature:
~~~~~---T::}I~~~------------------
RECEIPT *:U~II ( )
DU,..'t"nrnn nv. t. i, MAtH A-1 )('")
ELE~CAL PERMIT APPLICATION
Ci ty Job Number 9 (/lnn. ~_~
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3.
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00.
C.
Temporary Services or Feeders
Installa-tion, ,Alteration or Relocation
200 amps' 'or less S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80~00
Over 600 amps or 1000 vol ts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
.'
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 35'.00
$ 2.00
not'ineluded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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