HomeMy WebLinkAboutPermit Electrical 1996-3-29 (2)
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225 FIITH STREET Zonifl9_ L D . .' ELECTRICAL PERMIT APPLItMTION
SPRINGFIELD, OREGON 97477 . "3/.:Yf jq ~ (\ I 10
INSPECTION REQUEST: 726-37i'l~a I '~ CiJY In&- Number ~ \0 1\
OFFICE: 726-3759 Authortzed SignatUre
3. OHPLETE PEE SCHEDULE BELOV
N.
1. LO~~ ~LA
--1..~ON
{\ -l9B \QESCRIl"m>l! - ~- ~... IX'
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Permits are non-transferable an expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor~ ~r~V\
Address SQC1"TG:. 1::x:1y Wne___
City t.l.)q&W\~ Phone (08(,,-0':71':>-5
~
Supervisor License Number 15" e S
/o/t/q!j
5#31
Cf/50/Qe
Expiration Date
Constr Contr. Number
Expiration Date
Signatu~~~~ician
O,.m N~\\J:~all\ ~l1illDu1
AddreLf'f \~\~
Ci ty Phone "144. ~~ .
o ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------~:~~11?----~-----
RECEIPT 11: \J :'N': {:l1'1<'6'J
RECEIVED BY: ~_" ,
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
-l..-
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
uni t.
Cost
Sum
\
$ 85.00
~
SO
$ 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 vol ts
Branch Circuits
$ 40.00
$55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
S 20.00
S 36.C()
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