HomeMy WebLinkAboutPermit Electrical 1996-8-28
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Zoning ~/ r I
Date ~ .13 .qlJJ
225 FIF\'D STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726_37~9>rized Signature
OFFICE: 726-3759
LOCA~ON OF IN~!ALLATIO~
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JOj,l DESCRlPTION("I',,7\,
<if"'/ elJ't~~ .
permi ts are non-transferab:.e nd exp~re
if work is not started witH' 180 days
of issuance or if work is suspended for
180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
-----
Electrical Contractor..,j B f3Leofnc--;j;.[c.
1E>""lbt"Jt<- Sr
Phone !v?l7-5flo
3~1~ ::;
Expiration Date jo}/ fqJ- '
Constr Contr. Number /D'Ihq
Expiration Date?/NN7
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Signat e~W::;lectr~an
~
Address
[7'<cP
CU4~__
City
Supervisor License Number
..
-1-11 '
Owner Name
A~dres , /...~Cr
Cit "
OVN ffi STALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.
DATE~-------~--4-~-~~
RECEIPT .: ~'l9:q.. f) .
RECEIVED BY:" ~( .
-,
...
ELECTRICAL PERKI;\APPLICATION '
'/tV) Citv Job Number ~ \n~~ ~
3. COMPLETE FEE SCHEDULE BELOI/ *
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
I
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000,amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or'Feeders
installation, Alteration or Relocation
, i
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see 1IB"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcui t / '$ 35.00. 3.C;---
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
,
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
, 3.s--
1/ "ZSr
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I.OS
31$.W
SUBTOTAL OF ABOVE
5% State Surcharge
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