HomeMy WebLinkAboutPermit Electrical 1999-2-10
zon as e 0 owing
109, and does n~t re ire specific land use
approval
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Aulhonzad Signature \ -M.
97477
726-3769
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION ~ION
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LEGN- DESCRIPTION 3L{'f
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
City Job Number
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder
Items Cos t
Sum
$ 85.00
$ 15.00
,$ 4().00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
I~nstallation, Alterations
Electdcal Contractor~~LT1Z'L A>-Ob;..lwt~r Relocation:
.
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Address_f. 0 1S1J'J6 :Yi{<Ll'3
City <t'.Lf.,P---"'--- Phone bJ'r-,fr" '-f
Supervisor License Number 3\{ "l7 <..
Expiration Date 10 -, - 0 \
Cons tr Con t r. Number ? n1i'<i>7
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
Expiration Date 12- -~ 0 -f1)o
Signature of Supervising Electrician
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Ovners Name 41 A-.,; JC.e o"",,.,j
Address.,MID .~bo.Jl.&.t.. D~
Ci ty ~t, "'1 ~ Phone?J# ?J. /, -Jjt '(
OIlNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
---------------------------------------
DATE: -z-(,{J /'11
RECEIPT 11: () 1~5 j ( j/
RECEIVED BY: ~t..JJ
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see HBlI above
.'
Nev, Alteration or Extension Per Panel
$ 35.00 3 ~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
f
$
:v
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
2.00
37.w
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