HomeMy WebLinkAboutPermit Electrical 1997-1-13
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225 FIFTH STREET [, )--LI-IJ~ ('
SPRINGFIELD, OREGONc-9'7r4'7.'l SiO"sluro ". 1/1/1 /iA.
INSPECfION REQUEST: 726-3769 -;~'--
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE
1. LOCATION OF INSTALLATION
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\~W, \4
BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
JOB.DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACfOll. INSTALLATION ONLY
Electrical Contractor Hnn(:j',)t'IJ. .
Address~S ...<:;6 J. C;"''Q'' ",;' i7>k'j frlqo
Ci ty --Port land Phone5o.~ -9("R, '1'n3
Supervisor License Number 97<t.7LE
Expiration Date
jO -j-"17
Conser Contr. Number :J.ln-5oSc...
Expiration Date 10-,-97
Signature' of Supervising Electrician
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Olo'n'ers NamelLY\~ortll\lt
Addre~s /-\\OCJ\ '2A<\tO. ~t
City ~\Om Phone ~~\'\Q\f'Q
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
----~---------------.~-------~-n:- -----'
DATE. "un,-/:, \:) G1
RECEIPT II: roo.."'h. -_).
RECEIVED BY: -. A-J
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dlo'elling
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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Serv.ices 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
-'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35_00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
. Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcparge
3% Administrat~ve Fee
TOTAL
$ 40.00
$,46.00
$ 20_00
$ 36.00
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