HomeMy WebLinkAboutPermit Electrical 1996-4-19
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Date L{ ~(q !t;ap
97477
726_:fHi/fnzed Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INS'fALLA1iM}N (,(
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JQIl,)lESCRIPTION J1l '
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'Permits are non-transferable and expire
if vork is not started vi thin' 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor Prtt../!}Jr ,//'!, ,
Address 9tfd.
City E UoQA^-"
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Supervisor License
OC- / VI:
Phone :IVY -y';2..tY7
Number
Expiration Date
Constr Contr. NumbeL" G 7 t( ( ~"
j/2-? ?
Signature ~~pervis>7g Electrician
'fV~
Ovners Name l-~fV( V'~ ";5 r '/~~D~
Address 3~' 73 )(,',,-fV Pq"Vlf<?
City ftC-t.o ~ Phone t.;f~'- "JI '7 (,
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OVNER INSTALLATION
Expiration Date
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DArE~------~~\L{~C\'P-------a::;---
RECEIPT #: J), _ r 1~
RECEIVED BY: ~"
ELECTRICAL PERMIT APl"LICATION
\..HY Job Number qlrfDlq
3. COMPLETE FEE SCHEDULE nELOII
A.
Nev Residential-Single or
Multi-Family per dve11ing unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dvelling
Service or Feeder
$ 85,00
$ 15.00
$ 40.00
'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 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or FeedeL' Permi t
$ 35.00
--
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
. ,
5.
SUBTOTAL OF ABOVE
5% State Sur~harge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00 C).J-/
$ 36.00'
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