HomeMy WebLinkAboutPermit Electrical 1996-12-5
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SPRINGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. ~OCATI06 OF INSTALLATION
. ~1 I Y VI/UP)l -"
~GAL DESCRIPTION
170 ;}o;;z,nf:)l"lCQ 10 ()
JOB DES~ION
~ t1Y-/}A./~
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
Electrical contract<\::A~Qi I flQ~
Addr~s \C\.I\[) Q.,<?,-.\-V\ B ~'.- .
Ci t,6,JD!J fl., Phone\4"1. 'Z2l3
supervis~J.JLicense'Number ~ir~~
\D. \ .qr
Constr Contr. Number l ~('V"\~
Expiration Date ~.~~..tt-
~,\:'~~;;;,1';)li'i",.-.".<"i<i"
::=r-- ((])f)
Owners Name
)ddress
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Ci ty ~Y\V1
01lNER I S
Expi ra t ion Da te
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-~;z~~~~-~---------------
RECEIVED BY: /I.b:1 _
ELECTRICAL PERMIT APPy:CATION .
City Job Number q ~ (() 1-L{
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular '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
C.
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
D.
Branch Circuits
(
I New, Alteration or Extension Per
.~","~,,/ ^'lI..,1' One Circuit (
hone (O((Q~~}C) Each Additional
Circuit or with Service
LATION or Feeder Permi t Lf
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL .
Panel
$ 35.00
3~
~
$
2.00
not included)
$
$
$
$ 36.00
t;3.,(}D
40.00
40.00
20.00
'l .I C,
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