HomeMy WebLinkAboutPermit Electrical 1996-6-14
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approval. -po""'" use
Zonina L't> e....
225 FrITH STREET 1,I"I./Ij1.,
SPRINGFIELD, OREGON 97477 Dme~
INSPECTION REQUEST: 726-YM'lbrlZedSlgnature Mil
OFFICE: 726-3759 '~I
1. ~...cATION Of INSTALLfl,T;ION ,
YS ( 01& Or-c,/t1rvdl t.clWl
LEGAL DESCRIPTION
I/f) =12 ~f)i'> CJ 100 '2..,
~Op 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 B.
Electrical Contractor~J\1)(o~5 t-f( FI
Address CfLfl- OtlJf:-$1
Ci ty rn b~ Phone3c.{<f - 'i{l55!
Supervisor License Number
41- f;" . - I/" '1 /
Expiration Date .~~( 7 {4;., '-"(-'ff_-
Constr Contr. Number (,7'-1/5
EXPirationtte ju/.;'I tl.-, (qqf,
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Ollners Name Fv'1(jJlJ. (3 fkvu.~ D.
Address 3513 Rtl/fJe fJd/1#b JJe..
City(;P~ Phone~5-317{,
OVNER INSTALLATION
The installation is being made on
property I Olln Ilhich is not intended
for sale, lease or rent.
OYners Signature:
-----------------7:---------------------
DATE: -' r;, -/?~"2v
RECEIPT 11: '7-1~<
RECEIVED BY: . ve:...-
ELECTRICAL PERMIT APPLICATION
City Job Number tfftrj,SC;-
3. COMPLETE FEE SCHEDULE BELOV
A. Nell Residential-Single or
Multi-Family per dllelling 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 'DIlelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps o.r 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 "Bit above
Branch Circuits
.'
Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res --L--
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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