HomeMy WebLinkAboutPermit Electrical 1996-6-14 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726:"'3769
OFFICE: 726-3759
1. L~qA.fION OF INSTALLA'{IpN""
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LEGAL DESqg.PAION
\~020~~A (J~C)cy)
AO\!-- DESCR:P"I;.ION
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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.
I
2. CONTRACl'OR INSTALLATION ONLY,
,
Electrical Contractor JB Electric
Address 1786 Ba 1 boa Street
Ci ty Eaoene
Phone 687-5770
Supervisor License Number 38725
Expiration Date
'n_'_~
..
Constr Contr. Number 84200~
Expiration Date 6-22-c1i
Sign~t~o~SUp~~g Electrician
\h-{J. [/ rr ./LA~
Owners tfme\ ~11 ,rr"c\O II6'L-
Address,"\HCJ~ ffi..~
City ~i\lJl\(\q~ Phone~.<?91d1
OIINER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:_ .. ~ ./'t.'''7t::" _
RECEIr 1 ,: '2/"7' $' ~
RECEIVED BY: ~ j - --:~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q LeOI al olo
3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq,ft. or less \ $ 85.00 -13.S
Each additional 500
sq, ft or portion fJ. 30
thereof $ 15.00
Each Manuf'd Home or
Modular D\lelling
Service or Feeder $ 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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or \lith Service
or Feeder Permit
$ 35.00
$ 2,00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1/5".00
'S.7r
.... 9'f
I J-f, ~o
SUBTOTAL OF ABOVE
5% State Surcharge
TO....!. lq;a ~/401.;