HomeMy WebLinkAboutPermit Electrical 1996-12-16
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ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET 97 Zond, f)O __
SPRINGFIELD, OREGON 477 .
INSPECTION REQUEST: 726-:H6~L.(LJ&lS.~ Ci ty Job Number q $"079<:::J
OFFICE: 726-3759 () ~
Author!zod Slgl1atu"---1;l~Mi'fill7S :OSI; SCHEDULE BELOV
1. LOCATION OF INS~TION
_ .2, 7 ~o S< Ce'DLV-C$l~~ ,A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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[ ,:l~ DES,Cr.-qION
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. CONTRAA~$~ALLATION ONLY
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E ectrical Contract M /,
Address /2 5'w
Ci ty /JJ d "1'05
Supervisor License
Expiration Date
The installation is being made on E.
property I own which is not intended
for sale. lease or rent.
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DATE: _ /<. ~t::-,,/>b
RECEIPT #: -:2 '/~<:::
RECEIVED BY: r;;J--":.:s-- oS- .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Hodular '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
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
-$ 40.00
$ 55.00
$ 80.00
see "B"
7t?
~
above
.'
$ 35.00
$
2.00
not included)
Hiscellaneous (Service/feeder
-Each installation
Pump or ,irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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