HomeMy WebLinkAboutPermit Electrical 1996-5-9
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225 FIFTH STREET 081. .c:;:. q...:!1~
SPRINGFIELD, OREGON 97477 ~--...~~
INSPECTION REQUEST: 726-3769 'I
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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'22>55 Qt.\.{ lVIf'1(. .:)'\ . .
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JOB DESCRIPTION
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Permits are non-transferableuand expire
if work ia not startea within' 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ES1.A ,.IlJc.
Address 17_10 OAI('PA\'U-\ a..-D
Ci ty EIA~eoe
Supervisor License
Phone t..jeS~g;~(p
Number 5,0 910
I "
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------7\-r--------------
DATE: f\.~.V\Y1. \"\\
RECEIPT 1I: ~ I ! ~ \"\\ \\\
RECEIVED BY: ~\.J...j~_ v~. .
ELECTRICAL PERMIT APPLI~T~~
City Job Number. C\IQ\~
"
3. COHP.LETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
ModulaL' 'Dwelling
. 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
$ 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 "B" above
,
Expi ra t ion Da te 10- \ -'llle
Constr Contr. Number \\I-z..-t)(.,
Expiration Date :1-').-'17
Si~:; ~Sing Electrician
D.
Ovners Name DH(.,ot-J Kl'Xl'LO A;D OZf:DT\J~1 o..J
Address_ Po 00><.. 2SDS:
Ci ty t;\.{~t()e, Phone (/0'0-711{ 'I
01lNER INSTALLATION
.'
New, Alteration or Extension Per Panel
One Circuit ~
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
.'
$ 2.00
E. Miscellaneous (Service/feeder not includ~d)
-Each installation . ,.
Pump or irrigation $ 40.00
Sign/Outline Lighting \ $ 40.00 zg-)
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. S~BTO~AL OF ABOVE - A.r\~
5% State Surcharge \~W
37. Administrative Fee ~~)
TOTAL ~.'11 }