HomeMy WebLinkAboutPermit Electrical 1996-3-21
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The following pr04ect as submitted.~as the fc
zoning, and does not require spechlc land us
approval. (J,
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97477 Data ~\~\ \<1'1c
726-376Al.rt.horized Signature.-,,o./\p ri.~Number
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
. OFFICE:' 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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~ JO~ DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical cont17acto~ ~-\n ~~
Address\~cc.o ~J\~ IS\- '
City Y~4lL ~on~ ~\.Cila\
Supervisor Li\ense Number ~l\\1-~
Expiration Date \O.\.q-S
C\l <603
6'?~<6~~\n
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
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O~ners Name 71A.. ~~ ~"'/t'~
?~ ~ I':/,{, -' p;LiP''. ./' 4 / ,
Address?L' 2?,? ??~~~~_
Ci t"~~ Phone Y.?7-< :5?.Y/
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OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
tor sale, lease or rent.
Owners Signature:
~~~~~---------~~~I'-:~~------------
RECEIPT #: ?~?~ '
RECEIVED BY: /7_~~
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ELECTRICAL pERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOV
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
ModularD~elling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 less e--- $ 50.00 ~.. c:>>
amps or
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or 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
,.
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~.. . -
5% State Surcharge ~-,51C>
3% Administrative Fee /.~
TOTAL ~ ..480
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