HomeMy WebLinkAboutPermit Electrical 1996-7-1
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SPRINGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97471]uthorlzed Signature
726-3769
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~d~cC7S
Address Qcf2..-- OUve 5"'-
Ci ty ~6C),u:: Phone 3ftf-%2Ss7
Supervisor License Number
Expiration Date
Constr Contr. Number c::, 74t5
7/ tL/r(,o
Expiration Date
Signature of Supervising Electrician
.B.
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ELECTRICAL PERMIT APPLICATION
City Job Number
7'e,bSf93
3. COMPLETE FEE SCHEDULE BELOII
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular .Dyelling
Service or Feeder $ 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
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Oyners Name
Kop-.. S:.o* /Ftr7Zf',<63. Branch Circuits
! . Ney, Alteration
or Extension Per Panel
Address
Ci ty Phone4e.~ - ~/?~
O\INER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale. lease or rent.
Owners Signature:
-----------------~7-7-----------------
DATE: ~/ I 5'h
RECEIPT 1I: i I 27 ~~
RECEIVED BY: -~ ~
,-
One Circuit
Each Additional
Circuit or yith 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 X $ 20.00 -7VJ~
Limited Energy/Comm' $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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