HomeMy WebLinkAboutPermit Electrical 1996-11-12
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225 FIFTH STREET j ,..., ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning. '-'ve.- 01(/'''7 f _
INSPECTION REQUEST: 72(jmJ7691t-I/L''iit City Job Number 7(,.1 'J^ \0
OFFICE: 726-3759 - .
Authorized Signature tJrJi. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALJ.ATION -
/74'# ~//./~~ A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DEg;IUPTION
17 (J :;S.2 'j-;~:n 07.')11 tJ
JOB DESCRI~~~~ .,
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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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~ l!.or~",
Address Sqq'7(., my Lane J
Ci ty E. t.) q e.v\ e-. _ Phone cDBto -Oq 0.5
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Supervisor License Number / 5"~ S
Expiration Date /0/1 ) q~
Cons tr Con tL-. Number 5 #31
Expiration Date 9/5D/'1e
Sign~ Supervising Electrician
0."" ".: ~ fp.:k1 (8i) O.
Address /744 Z/v~tJu.r-
Ci ty~/:V.ti..t;"Mhone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------~---7:---------------
DATE: U--It--tflU
RECEIPT 11: J.:471t11
RECEIVED BY: ~'&
Items Cost Sum
1000 sq.ft. or less $ 85.00 ~
Each additional 500
sq. ft or portion 15~'
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Se~vices or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
'.'
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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