HomeMy WebLinkAboutPermit Electrical 2000-1-19 (2)
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225 FIFTH STREET
SPRINGFIELD, OREGON f<J'J'4Ti
INSPECTION REQUEST: A"7rUi..:b7~Bnalur.
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB I?E~CRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork 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
Ovners Name Jil11
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Address Z (, y'
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OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: 1- '~-ifb
RECEIPT tI:
RECEIVED BY: ~ D /-1
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. ELECTRICAL PERHITAPPLICATION
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, City J~bNumber '1"};'()/(p2-""-tjJ
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items'
Sum
Cost
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 ~~
.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' '0'1: less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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