HomeMy WebLinkAboutPermit Electrical 1998-2-6 (2)
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225 FIFTH A~=Slgnature n~p ~ ~. ~~ .'
SPRINGFIELD, OREGON 97477 ~ ~ ~-~
INSPECTION REQUEST: 726-3769 ~ ~ 0(.,; ~ City Job Number qlo ) tf { c;
OFFICE: 726-3759 '1'"" v "t. ~
~ % ~~~ COMPLETE FEE SCHEDULE BELOII
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l:b ~~~ ~w Residential-Single or
y~ ~~ti-Family per dwelling uni t.
~ ~e~ce Included:
~ ~ ~ Items
.-(\~Q
~O~ ~.ft. or less
Eac~additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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1. LOCATION OF INSTALLATION
"205 7)/) R R IS 5\ .
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
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Ci ty
Phone
Supervisor License Number 4/)22, S
Expiration Date (()-/ -qR
Constr Contr. Number t~~
Expiration Date k,/.
Signature of Supervising Electrician
K:,~~J.. D. '€~..l!l
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Owners Name ( , ,.11..-. .__.( b.~ _ R..rk:.1 p"" .
Address./.DJ- Z6? 5. "^ J (
Ci tySPf?, ~v:;:CJM'.1'. Phone 72.<r'-4-'33~
OIINER 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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.2_1.-9'i
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DATE:
RECEIPT II:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
-'
One Circuit I $35.00/7,)'(')
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 I 'f
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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