HomeMy WebLinkAboutPermit Electrical 1996-4-2 (2)
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The following project os 8ubmlltad has tho follow
zoning, snd doe. (lot requiro spoonic lend U80
approvel.
Zonina L De.....
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97 4 7~bl1.h9rlZ&d Slgnst\l~ S \p
.. 126-3/b9
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ,.10CATIO<<-?~ INS]ALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTIO~~~ .
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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 Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name --ft/?7 <-4r-ll~).ctf>]
Address ~ ~~~~
Ci ty "3~?7) Phone ~ - (I~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
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DATE:. 4/'2..-1'6_
RECEIPT #:. .1 (-:z..C)~
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
"1(Y .Job Number
9 c,/?~2CJ
3. COMPLETE FEE SCHEDULE BELO\l
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85,00
$ 15.00
$ 40.00
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less L---
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
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or 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
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE S CJ.~
5% State Surcharge :4-tJ'O
3% Administrative Fee /.lD
. TOTAL- &:4 DO.
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