HomeMy WebLinkAboutPermit Electrical 1996-10-10 (2)
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SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9ttfyiZed Signature
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number ~t>~ ~
Expi ra t ion Da te II)- 1-'11'>
Constr Contr. Number "l.b.
Expiration Date I'UA
Signature of Supervising Electrician
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Owners NameIJ:J:ft........(Au ~,../Ct l,. D(<t.
Address bf3t> 1).36-1'1-1
Ci ty <;}'PtNt:Ff11I" Phone 72.6 -~~/)
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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-------7\-------------------------------
DATE:lU ~ /()- 7y,
RECEIPT #: LJ d.J '-/ rl- '7 .
RECEIVED BY: /}. p'yjr:::)C/7cJCZU
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ELECTRICAL PERMIT APPLICATION
City Job Number ~ {O r S 7Cc,
1
3. COMPLETE FEE SCHEDULE BELOY
A. Ney 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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
.B. 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
$ 40.00
$ 55.00
$ 80.00
see 1IBft above
,"
New, 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 Additional
Circuit or yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
~ $ 36.00 ~~
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