HomeMy WebLinkAboutPermit Electrical 1996-7-15
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SPRINGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
AlJti10riled Signature
97477
726-3769
1. LOCATION OF INSTAL~TION
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LEGAL DESCRIPTION
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JO'i DESCRIPTION
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1
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 Wt~ .1(r~s;:?,(J_
- ,
Address-P9 ,P/~r ..uJ,
City ~~AL Phone!1i/-tJ6?7'Z
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
~~,li~~~~~:~~~___~~~~~__
RECEIPT #:, ~4' $"" ~
RECEIVED BY: _ .AP'X--.
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R1E!:l'RICAL PERMIT APPLICATION
City Job Number 95/ 4tJ ~ A
.
3 _ COMPLETE FEE SCHEDULE BELOY
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
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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
D.
Branch Circuits
New, Alteration or Extension Per Panel
"...- $ 35.00 3G.~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~ $
2.00
~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
not included)
5_
$
$
$
$
39.~
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40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL