HomeMy WebLinkAboutPermit Electrical 1996-10-23
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Permits are non-transferable and expire'
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
" " Installation, Alterations
Electrical ContPactor~~~~ ~;-~/~or,Relocation:
200 amps or l'ess
201,amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF'INSTALLATION
/.~t: l"YJ~j"./_~
,
Jm~~~~~50 I
JOB DESCRIPTION '
fC/J?-"'t1r7 1-A1A/'T ,#~~"'./;.~'
ELECTRICAL PERMIT APPLICATION
tJ, M City Job N:n.ber!i/1~l/
3. COMPLETE FEE SCHEDULE BE LOll tI bI f6~
A. Nev Residential-Single or >f
Multi-Family per dvelling unit.
Service Included: '.
Items Cost g m
1000 sq.ft. or less $ 85.00
Each addi'tional 500
sq. f t or port ion
thereof $ 15.00
Each'Manuf'd Home, or
Modular'Dvelling
Service or Feeder $ 40.00
Address-AX' J~
Ci ty mPJ7l-~ Phone.91 -7:~~~1
o423S-5
.//J - L?~
$ 50.00
$ 60.,00
$100.00
$130,00
$300.00
$ 40.00
Supervisor License,Number
Expiration Date
Constr Contr. Number_~;::;>'3':~
Expiration Date
7~~7 .
Signa:/ >>~Sih;;~
Ovners Name '7- /1
Address ./346 ~#/;(.) $7:'
, ,
City sP~,1x..qWPhone1"'(7- 7th?'?
O\INER INSTALLATION
The'installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Owners Signature:
l
~~~~~-l~=-:Z-~~~~~~-~---------------
RECEIPT 11: .(6S'll">. , ',',
RECEIVED BY: T\ . rYliLCiA.b--(VU
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
$ 40.00
$ 55.00
$ 80:00
see "Bit above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circui t )
Each Additional
Circuit or vith Service
or Feeder Permit ~
$ 35.00 3;5".60
$ 2.00 ~~/?")
E. Miscellaneous (Service/feeder not incl~ded)
-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 Surcharge
3% Administrative Fee
TOTAL
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