HomeMy WebLinkAboutPermit Electrical 1997-4-25
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonina L.-DI2-
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97477, ,~
726_3769".00 Signature
1. LOCATION OF INSTALLATION
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~P.FIELD
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number "9..c/66~
3. COHPLETE FEE SCHEDULE BELO\l
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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~OB DESCRkPTION
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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 ,B.
Electrical Contractor BV'o...JWs. Uifl
Address
9/q~
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PhoneS 1 Jf - f? d ~ 7
Ci ty C l~ r,-",--" "'-.0
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Supervisor License
Number
Expiration Date
Constr Contr. Number G trSl/~~
Expiration Date ~7
Signa~~<~~up;?vising Electrician
;y/J(&I'n~1 _
Owners :ame ~~7'-'?'l,F- 75~.....,..~ D.
Address
City Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEr'PT #:
RECEIVED BY:
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Sum
Items Cos t
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular 'Dwelling
Service or Feeder
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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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