HomeMy WebLinkAboutPermit Electrical 1997-9-12
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The fol!owing project as su.bmittsd.~"s~thr.1 f~l:owind
zoniilg, and does not reqUire speCl1lC Ie.old U_<J
e,pproval.
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225 FIFTH STREET . Date q .........l.? ....01
SPRINGFIELD, OREGON 974T1 I ( (\
INSPECTION REQUEST: l'ZJ61Q92A9~i9nature nI\
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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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 .B.
Electrical Contractor C92~t~~ ~~~
E Cae- J..e ''L
Address ~~ / '111(I..uu:... CnPII-L .
Ci ty/--CQn.l.-.. A~ Phone 99' 7-76 5Y
i
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Supervisor License Number 3~ ~~-S-
Expiration Date /1 ~5d"-<=J8.
Constr Contr. Number '/ '7 153.
Expiration Date I'?I ,- s ciJ.- '1g..
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Signature of Supervising Electrician
G-~,
~ Name :KJ4 YJl1oA.)[J !3gR gl)
Address rs 6 .3 0 OC("q........ d?w {)p,
Ci ty r to/tI~ Phone 997.-;;> Lt~7
OVNER 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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RECEIPT #: Oir- '7:5 (10
RECEIVED BY: T 1. m CLCktL.({.o
ELECTRICAL PERMIT APPLICATION
~l ty Job Number CP 7 o.s-s:- 6.
3. COMPLETE FEE SCHEDULE BELO~
A.
New Residential-Single or
.Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion
thereof ,~
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
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
$ 85.00 'i~'
$ 15.00 7r
$ 40.00
$ 50.00 SV
$ 60.00
$100.00
$130.00
$300.0Q
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampg"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
I $ 40.00 ~f).
$ 55.00
$ 80.00
volts see "B" abd've
New, Alteratio~ or Extension Per Panel'
,.
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ) $ 2.00 /0.
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
not induded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
(fl 00 _ 00
S'O.tJV
19(' 60
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