HomeMy WebLinkAboutPermit Electrical 1997-10-6
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning Ld. t/
97477
726fl:j"!.6-9IO-&o<''i1
Auth'Jrlz9d Slgnatum
ELECTRICAL PERMIT APPLICATION
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City Job NlflDber
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Permits a non-transferable and'expire
if work is not started within 180 days
of issuance or if. work is suspenaed for
180 days.
2..' CONTRACTOR INSTAL"1TION ONLY, B.
Electrical ContractQ,r1\ Ox\\C\0f2 ~\J~
Address \\5'\-f) _,\rwn # f\~=-
Ci ty f l~ Phonel1~{. \~
rf:J .'-
Supervisor L cense~~er CJtL\~
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Expiration Date
Constr Contr. Number \ ~\~
\~.~:a.f\
Expiration Date
Signature of Supervising Electrician
~~
Ovners NameThl~O,~~\\~
Address ~~ ~otn--, .
Cit}~~n~~OLphone IrJJo.ld)?5
~INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
,
Ovners Signature:
DATE:
RECEIPT 1/:
RECEIVED BY:
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A. .Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling ._ f1
Service or Feeder ()(
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
C.
Sum
$ 85.00
$ 15.00
$ 40.00 . &2
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 uBlI above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit J
E.
Miscellaneous (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
$ 2.00
Q.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
00
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