HomeMy WebLinkAboutPermit Electrical 1996-7-8 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477 ActhNlzsd Signature
726-3769
ytCA1;I.ON ~^INS.TALLATION
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A n I~OB ,DESCRffiION ~
~. :J\(\O \J\0J\,Qf ~,
Permits ar~ non-transfer~le-and expir
if york is not started vithin 180'days
of issuance or if york is suspended for
180 days. y
CONTRACTOR INSTALLATION ONLY B.
ContI!'actor
Address /
/
City ne
L
Supervisor
Expiration
~
ELECTRICAL PERMIT APPLICAAI~D
City Job Number 0\\Q'CJ~1 .
3. COHPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .~
Each Hanuf'd Home. or
Hodular 'Dvelling
Service or Feeder
$ 85,00
$ 15,00
$ 40.00
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 $ 40.00
201 amps to 400 amps $ 55,00
of Supervising Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 volts see "B" above
~vners Name ,\~ ~a\\f\~m
Address C\Cf6 ~ \ Q1\ ~
Citib?1\ct PhonefJ4~ .()Y2--
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
~or sale, lease or rent.
Owners Signature:
~A~~~-----------------<<1~~~C\-((?----
RECEIPT #: I I \f"'>.^ )
RECEIVED By:_'Ph H.A../
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D.
Branch Circuits
o'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2,00
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40,00
20.00
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
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