HomeMy WebLinkAboutPermit Electrical 1997-7-14
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
I! 180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor AA8~t)
Address /.?CJ,
City E~~,)eA
.8U,)L- 2-66
Phone 91-r- ~-tJ,'l....
Supervisor License Number / J )"
Expiration Date / CJ - / - 9r
Constr Contr. Number /2/ ?'-Il
Expiration Date
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Signature of Supervising Electrician
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O~ners Name
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Address ,,7 () z.-
City 5~/;'~&J
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Phone
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OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~~l-i{-~~~-------------------
RECEIPT 11: :J ~ct~.,
RECEIVED BY: ~A:I. J
,JUU l'lUlli;"er
3. COMPLETE FEE SCHEDULE BELOY
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Ne~ Residential-Single or
Multi-Family per d~elling uni t.
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 'D~elling / 7'00' ~
Service or Feeder $ 40.00
A.
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
00
/ $ 50.00 ("iJ /"
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit ~
$ 35.00
6'~'
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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40.00
40.00
20.00
36.00