HomeMy WebLinkAboutPermit Electrical 1997-5-19 (4)
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1. LOCATION OF INSTALLATION ,-'
Y-+\"'ICn A\ \eD :?, \ c::;n cS<--I<.wC'^-4 Loof A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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225 PIFTH STREET ZoninG
SPRINGPIELD, OREGON 9,7 4 77 _.
INSPECTION REQUEST: 726-37495:=-6. -77
OFFICE: 726-3759
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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
Electrical Contractor F::S+ A I rJ c..
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Address 12.\0 OPl\U~\("r\ \2..D
Ci ty WCl P{)f' . Phone 4 9-.s- SSy (p
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Supervisor License Number Lll.\S''<; \ <n
Expiration DateICT\-qi
Constr Contr. Number \112...9->l. 'I;:r'ZSC;Cl-S
Expiration Date ,;1-:;2.-'1'0
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Signature of Supervising Electrician
O.~~'INl
Address ~15(') c'L+t-dG.V\ Loa:=>
Ci tySfX'\J)-5~e..\r1 Phone 12[;-VO \ \
O\INER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Signature:
DATE~-----~~-:~~----------------
RECEIPT #: 2C;x.t.-// '
RECEIVED BY: /.4~
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ELECTRICAL PERMIT APPLICATION
City Job Number
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Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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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 100U volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
8ranchCircuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
"
$ 2.00
E. Miscellaneous (Service/feeder not included
-Each installation ' ,
Pump or irrigation $ 40.00
Sign/Outline Lighting---r- $ 40.00 ~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
S. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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