HomeMy WebLinkAboutPermit Electrical 1996-8-20
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Zoning L~
225 Ur ~a STREET
SPRINGFIELD, OREGON 97477." ~ '2D.1fJ
INSPECTION REQUEST: 72~MJiI~ed Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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~DES,~~~~ D\::JD
.1 . JOB DESCR,IPAION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
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ELECTRICAL PERKIT AR~CATION
Citv ,Job Number L\\Q~~
3.
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling 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
Modular 'Dve1ling
Service or Feeder $ 40.00
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D_
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor AnT <:;.c:>,.."r;f-u C:v<:'t.ems or Relocation:
Address 1501 Pearl Street. Suite B
Ci ty EU2ene. OR
Phone 541-342-1311
Supervisor License Number R1777JLE
Expiration Date 10/01/96
Constr Contr. Number 59944
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
..
..
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date 04/29/97
Signature of Supervising Electrician
d-:;.JJ 12~-
Ovner Name~onAAI\d<
ress:dl':ll Rt.-.J"Ap.Af.I/;'tJ ~.
Ci tY'sPQI ~tIP\l Phone 7410- fo{"l"J
,,,,. '" OIlNER INSTALLATION o,' - .o,'-
The installation is being made on, '
property, I ..avn which is not intended
for sale, lease or rent.
OWners, Signature:
DATE:
RECEIi'i I:
RECEIVED BY:
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$ 40.00
$ 55.00
$ 8e.00
see "B" above
Nev, Alteration or Extension Per Panel
"
One Circuit
Each Additional
;Circuit or vith Service
."or"Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
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$ 2;06
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not included)
$ 40.00
$ 40.00
$ 20.00
$ 36_00
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20.00
1.00
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21.60
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