HomeMy WebLinkAboutPermit Electrical 1998-3-17
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lI-\lS ?Ef\.~I1 S\1i>: Ef\. 1\11S \Elii~\~<f('L PERMIT APPLICATION
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. r>.U1\10f\. Of\. IS r>.6r>.l-l'{;lty Job Number -, ~ If I
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CO~ nO Ojl.'l3tlE~Ii\'pLETE FEE SCHEDULE BELOI/
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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Zonl"'L- (l (' /
D.19 ~- '7~ i .
Authorized SIonatU/ll Y\ f'V\
225 FIFTH S~ - I
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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1.
LOCATION OF INSTALLATION
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LEGAL DESc,RrPTION
( '70':l. ....,;.; ._,,::,
,(").;;;).'100
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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E1ec td cal Con t rac tor D,-::..c::;,
Address \) D~. ~'1
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Ci ty -.IA '\ Iv> to.. iY. Phone ....c.L..., , /0'></
Supervisor License Number 1..:Ac::...s
Expiration Date (b - t - ,,-,
Constr Conn. Number 3\;;= I
Expiration Date q -ILf-OO
Signature of Supervising Electrician
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Owners Name .,L..., }IU." PoJ ^ ,,,<, ~ ~ _ ~
Address J '1'-fr .f1//IJ.I/l'-
Ci t:;pri1gU'dd _ Phone~qs< S_....&M
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for s<i;1.j' lease or ren t .
Owners Signature:
-------~~-i~~. ---------------------
DATE: I l ~
RECEIPT: , ):2."'7 i l;jj
RECEIVED BY: r,'n.....4/ "--
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
B. 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
Items
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C_ Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit I $ 35.00 1..,'"'0
Each Add it i onal
Circuit or with Service ~"'-o
or Feeder Permit / $ 2.00
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
'-
not included)
$ 40.00
$ 40.0'0
$ 20.00
$ 36.00
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