HomeMy WebLinkAboutPermit Electrical 1997-3-3
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Th.e. fOllov.~ng project as submitt,. ..
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225 FIFTH STREET apP"ov~I.. no reqUffe specific Isr~~~.L!\:eCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 4
INSPECTION REQUEST: 726-3769 lonhg_ ~U City Job Number 9?~=<~6
OFFICE: 726-3759 Data (~-'3 / -c,-,
- I-L 3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATIONhorlzed Signature-12.M , '
/.7 -; 9J rD+-- ' A--.:-TN-ew-Res4.-d.elltial-Single or
, Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/7~ ~~=<'df(;..."JJ/. tIt>'::</~l5 Items Cost Sum
/
JOB DESCRIPTION
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Permits are non-tran~ferable and expire
if work is nrit started within 180 days
of issuance or if. work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~~~~
,
Address~q97~ D..aU'L~e
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Ci ty EU9t?.-A/iZ Phone bR~-oqO.s
Supervisor License Number /5~5( 5
Expiratiot(..Date /6// / qj?
/ ,
Constr Contr. Number~~~_~~
Expiration Date
9/3tJ/tt1f1
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Signbtlre of sup~rv' ing Electrician
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Owners Name (f) ~" ~ l.)off-.lJl../.l.-J
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Address ;Jt'7/ ~A?/ ~ c:;~ Jz::?2:>
:. / r-.- 4Cf 10
Ci ty E~~ Phone -16'</. ~
OWER INS~~~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------~----------------------------
DATE: '3-3/.?")
RECEIPT #:~'5'-~"
RECEIVED BY: ~~
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Ove~.1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 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. a,mp.s, to 400 amps
, Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$40.00~~
$ 55.00 -
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Eneigy/Comm
One Circuit
Each Additional
Circuit or WIth Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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