HomeMy WebLinkAboutPermit Electrical 1998-2-11
Thefollowlngp,oJecl 88 submitted haa the following
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225 FIFTH STREET Zonil19 CJ:.}
SPRINGFIELD, OREGON 9?fMJ_' Lilli Co \)
INSPECTION REQUEST: Ilb~
OFFICE: 726-3759 AUlhOriZedSignature_nrVJ.
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB 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
Electrical Contractor ~/-~~
Address Pn f2../w ~~
Ci ty,J?L< n OA' Cfll.\ ~ Phone ~.:\.. r I-,'?!
superviso~ License Number ~ ~ -
Expiration Date
10- /, (")1')
Constr Conn. Number ,. ;;f;<'nl') }
Expiration Date g - 1'1- -
00
Signature of Supervising
7 ~ ANv\A7-- 1QJ1a..
Electrician
Owners Name~n ,... _'~
/Jr;- _:S"" I
Address
Ci ty PhoneQ9i< S'2.~.D
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~~-:~-----~~~~~~-~-~----
RECEIVED BY: -4)~'
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ELECTRICAL PERMIT APPLICATION
9'~O/6 :7
'"" *
City Job Number
':;':;;;~:'::l'~FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder $ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~A
201 amps to. 400 amps --
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50_00 /Dn"D
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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200 amps' 'or less $ 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"
Branch Circuits
above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith. Service
or Feeder Permit
$ 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 Surcharge
3% Administrative Fee
TOTAL
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