HomeMy WebLinkAboutPermit Electrical 1998-2-6
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225 FIITH STREET Date7 /0 _~ ~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 . .a
INSPECTION REQUEST: 726-376!fMhorlzecl SIgnature IJ h,\ Ci ty Job Number q f? OtJcr ':;
OFFICE: 726-3759 .
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF ,INSTI\LLATION
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LEGAL DESCRIPTION
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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
Ele~trical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name /~~B.) ,!jar
Address
City Phone~9jr-Ji'~
OVNER INSTALLATION
The ins talla t ion is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------7,------------------
DATE: 2. //"'I7'~ .
RECEIPT #:_ .,,.) "ZJ:>72T'"'-
RECEIVED BY: . tf'~
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. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Hems Cost
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' 'or less I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 ~6
$ 55.00
$ 80.00.
see "B" above
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New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 2..60
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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /
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