HomeMy WebLinkAboutPermit Electrical 1996-7-2 (2)
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SPRINGFIELD
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approval.
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225 FIFTH STREET DMO~.~
SPRINGFIELD, OREGON 97477 ~A
INSPECTION REQUEST: 726-3769horized SIgnature fJ.L1
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
t70?f' 333 4 {)~(P/4
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JOB DESCRIPTION
1./7,<)!-0-''/ ~('/'U f"'J'+y
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
,
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor-Sonitrol Security or Relocation:
City Euuene
Phone 461-5678
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
\
Address P.O. Box 21009
Supervisor License Number 17)l'{),} l-G
Expiration Date /o-/-9f:>
C. Temporary Services or Feeders
Installation, Alteration or Relocatlon
Cons tr Con tr. Number 65149
Signature of Supervising Electrician
()1..J., l, yy') (0/'(")1 er)1
200 amps or less
201 amps to 400 amps
Over 401- i6 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Expiration Date 6-28-96
D. Branch Circuits
Owners Name ~U('<P RP.[( /1i1~Wif.- /Jqf( -
New, Alteration or Extension Per Panel
"
Address Sd I/Jl e
Ci ty Phone 7~7'~CJ6~
OVNER INSTALLATION
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
.$ 35.00
$ 2.00
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RECEIPT #: - ;:J.:;)..:3F7
RECEIVED BY:I - -
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res I $ 20.00 20~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 2(}~
5% State Surcharge Jd'l:)
3% Administrative Fee ~t
TOTAL 2/. ~D
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature: