HomeMy WebLinkAboutPermit Electrical 1998-11-17
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726-.it1~lZed Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIQN
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,LEGAL DESCRIPTION
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JOB DESCRIPTION \ f'\
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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
Electrical Contractor ~~L/'~
..........- - ",,' '-'
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name rI)'<..I{~1 K. <:;"""''''1
Address 9S7 r1oA'\\oe.~"> A.>......
Ci ty~...,,,,, Phone 7.:l(,,-~\'() I
OVNER ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE: !/-/?-~g .
RECEIPT #: t? ~~ -;>
RECEIVED BY: .-::y~~ "
ELECTRICAL PERMIT APPLICATION
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COMPLETE FEE SCHEDULE BELOV
3.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
.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
. $ 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
$ 40.00
$ 55.00
$ 80.00
see nB" above
D. Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit -L $ 35.00 ~o<>
Each Additional
Circuit or with Service 20.2-
or Feeder Permit ')( $ 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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