HomeMy WebLinkAboutPermit Electrical 1997-7-28
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SPRINGFIELD, OREG<m~4 7.7.~~ ,\~'\)~f(.. ~~~'V
INSPECTION REQUEST~ ~&b~ ~v ,C:J~
OFFICE: 726-3759 '\~~ .J.,O<(l (,'VOf(.. C'\)'
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n JOB D~SCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor \1..P\I~tJ\~:')fl()~
Address~~ 0 Pf\~\ \\1Dd
City & ~O~ Phone:1.A:J19J
Supervisor License Number ~(~-{~J)S
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Constr Conn. Number \ilJ...c::-D_
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Expiration Date
Expiration Date
Signature of Supervising Electrician
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Oyn Nam~h~- ~l~
Address p() j2,()y- 7Fd/J7
Cit~P _ Ot:PhoneQ7L.jO/
-0VNf;) INSTALLATION
The installation is being made on
property I own yhich is not intended
[or sale, lease or rent.
Oyners Signature:
DATE~1--11ffi.~jf;-~7:'1~-:7l7------
~g~~VED # ~Y: I ~~ ;nbcn OidD
ELECTRICAL PERMIT APPLICATION
Ci tyJob Numb<rr q 70%1 ~
'1~
unit. ~
3.
COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dyelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu['d Home, or
Modular 'Dyelling
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
C.
Items
Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D_
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Servifl
or Feeder Permit ~ $
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
$ 35.00 ..:<. ~.o-V
2.00
ly.iJ1:>
no t included)
S
$
S
$
K3.()O
--= 2 -11.5
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jb 57. d4-
40.00
40.00
20.00
36.00