HomeMy WebLinkAboutPermit Electrical 1999-8-25
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 91 ()CJ'iSC;
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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. CONTRACTOR INSTALLATION ONLY ,B.
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Electrical Con'tractor .ssel//c..$.
Address ~.,/? =:""y6LP<ss' ""b~/UC5
Ci ty Fl/6(!'f".wt5: Phone 91.S -.39a,
Supervisor License Number ~39$
Expiration Date L6-8.:1-".;1'
Cons t r Con t r, Number J.3373
Expiration Date Ifi5""" -~? - e~
Si~re of Supervising El~ctrician
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Ovners Name,gJou"):Jt_,<;"" -C.7~
Address :2 -=; L? p~I./n~ Aif-,
Ci ty Gfl{77f'1C: ~Phone5.42 :"'2/~ 71
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
------------------,~------------------
DATE: <;5/2-5/7 9
RECEIPT II: ~ S""'"'1 ~.15
RECEIVED BY: ~-7A_~
3. COHPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or
Hodular'Dvelling
Service or Feeder .$ 40.00
Sum
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
"""""=- $ 35.00
J., :;,4 0
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
$
2.00 ~tro
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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