HomeMy WebLinkAboutPermit Electrical 2001-10-12
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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1. LOCATION OF INSTALLA1;.IPN c-<::"
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LEGAL DESCRIPTIO~ .
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1 ,JOBAESCR:P'l'ION ~~~
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perm~s 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 B.
Electrical Contractor;9I?~r1(J, ~~c7-
Address;L 17 5 / -4 ,<::;/17-::1,... y R c/ .
CityLnc..1r'''n C Phonej.,RR-"'-/'/1<-)
Supervisor License Number ;'2.{)CJ6 S
Expiration Date / all // D
, /' C.
Constr Contr. Number .2rJ -/..c;->? c:-.
Expiration Date_~r:'~ ~ () ,
Signat~e of supe~~~!~~ectrician
b' h~kA' ~"1 ')
ow~e~am~ i^ fl1uu.i.u:rL
Address Am /liu.Jls-fDYl RDut
Cit~ Phone /41' ~4'tS
O~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease,or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RI''cF.TVF.n RY:
ELECTRICAL FERMIT APPLICATION
Ci ty Job Number ()\ . DIHS.O (
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cos t Sum
$ 1~ IO{p.l>>
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$).a-:"(TO .J.BPO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Hodular'Dwelling
Service or Feeder
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,$ 40.00
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
S 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
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200 amps' 'or less $ ~ ~ .
201 amps to 400 amps' S 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2,00"
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5. SUBTOTAL OF ABOVE
,~ State Surcharge
BS% Administrative Fee
TOTAL
S 40.00
$ 40.00
$ 20.00
$ 36.00
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