HomeMy WebLinkAboutPermit Electrical 1996-8-2
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477,
INSPECTION REQUEST: 726-3769Ihortzod Signature
OFFICE: 726-3759
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ELECTRICAL PERMIT APPLICAITO'l
r< "'Who Number C\ lo I DL.lp
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSl4LLATION
IOq,;:\ pl.o""IO...rl--.1:*. A.
LE(;.AL DESCRIPTION .
~~IA"l\c.o 1'103;1,11"-1/ - ((}lolXO
JOB DESCRIfTIQN
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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.
New Residential-Single or
Multi-Family per dwelling 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 'Dwelling
Service or Feeder $ 40.00
200 a~ps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
D.
200 amps or less
201 amps to 400 amps
Ove.401 to 600. amps
Over 600 amps or 1000 volts
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.A!l'l" S~c"d." s~'SLems or Relocation:
Address 1501 Pearl Street. Suite B
Ci tJ' EU2ene. OR
Phone 541-342-1311
Supervisor License Number R1777JLE
Expiration Date 10/01/96
Constr Contr. Number 59944
Expiration Date 04/29/97
~ignature of Supervising Electrician
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Address lot'j';;) Plpl\SA..;t vr_
ei tY~~e\l Phone~41. - Tn3..
, ,," ,;.. OIINER INSTALLATION
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The .installation is .being madeoit
property I ovn vhich' is not intended
for sale. lease or rent.
Owners Signature:
DATE: - <g:"j ~ ~
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RECEln if: Vo<, 0\
RECEIVED BY: -.!'=:, ()
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
"
. One Circui t
Each Additional
'. Circuit or vith Service
'or'Feeder Permit .
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res --L--
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
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not inCluded)
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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20.00
1.00
.60
2].60
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