HomeMy WebLinkAboutPermit Electrical 1998-3-16
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726-3769 .-- --
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
Ii 0 ~ '2& 1.-3
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JpB DESCRIPTIOP
N.tw ~.l~
Fermits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of' issuance or if ~ork is suspended for
180 days.
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2.
CONTRACTOR INSTALLATION ONLY
Elec trica1 Con tractor9rAft--IZIVN
Address t-I '5 t? i7u~ <7"-
'Phone 1f<{,4- - 71-7 5
Supervisor License Number '1...12- '7 S
City ~iJ~,.JG
Expiration Date Of/I q '6
Constr Contr. Number If I '7;;1/
2-/'1'1
Expira tion Da te
Si~rJ~id~
,"O~ners Name ,~rina 1n111," { I r(
j """"'C7 '...!.lY.L..l-
Address X'~5 S . ::r~~'5T
City <;OfhLla~One~
011NE~ INSTAL~TION 54-/-'941-ItJOSS
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
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DATE: .3 - 1(.,.- "1 q
Rr,''''l. i;. lr;
RECEIVED BY: -l<.LJ
J. C, " I
. A.
ELECTRICAL PERMIT APPLICATION
. Ci ty Job Number C; <(; 0 J 7 L{
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COMPLETE FEE SCHEDULE BELOV
3.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Mi9~f'd Home. or
ModulH-\U~,aw.ing
Servi~ .Br"'~eder
oIll J 'l:RMlr
B. Servidll:Jom:~i.e~f!t.. ;:,,^
Ins Pal~~~.o~D 6'l.t.eial"llO~ .'
~ ~?11'Z1u or ~ OC~It'~~:O "u/:'"R 7"1118 IF rHE {.,
180 D 'R 18 A PE'RM, r/lORI(
200 amps o~"'~E~" 8.d,~ ~S/SI\'r<JP
201 amps to 40(j''tlrIIps D~so:'do
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
$ 85.00'
$ 15.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
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Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or ~ith Service
or Feeder Permi t r
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/
~ $: o-~
$ 35.00
$ 2.00
~.-
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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