HomeMy WebLinkAboutPermit Electrical 1997-6-20
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] /' J~ ELECTRICAL PERMIT APPLICATION
97477 Zon:n(U..{,.&.Y_
726::'37ftl.&:.)!;_1J Ci ty Job Number ';77&>7""95""
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LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
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~a.:;"~ ~r!1or-ati07\...
Address B'9Ct7<:o J)(U.A L..a..n~
v
Ci tyE"UQe.b1e Phone ~ -OCjo5
Supervisor License Number /5t,?, .5
Expiration Date /0/ f /9P.
Constr Contr. Number 5i.ftJ.3 {
Expiration Date
'1'/ SQj!LA
Sign~~pe~~~Electrician
Owners Name rL... G';z?V.A?'Z:>A./L:~r;?
Address /~//~~Y-~P./C )r.
CitY~~.D
Phone
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~ ,~-~ ?
RECEIPT II: ::?c.~
RECEIVED BY: ./" L ~_ -
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A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni to
Items
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'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
Cost
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~ $
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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$ 35.00 3S~
2.00
aOO
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
370.5'
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1/$19'"