HomeMy WebLinkAboutPermit Electrical 1996-12-4
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
700 '0' J::,1)L
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'726~3'76~O";l\U;o \JI\A.
1.' LOCATION OF INSTl}LLATION (? ')
1'2 c:: , 'J) G:> ASAlQ:"
,
_ ):ft.'; ~S~P~IODf) ~ 2h c-/ //3701) .
,
JOB DESCRfPTION L( "VWS'
-1-11) LL(' - CIlIA
(I --r--
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
, 180 days.
2. CONTRACTOR INSTALLATION ONLY
G G" n. L '& '-f) cLlle e;p
Electric~ COntractor
AddJ?:5 /V b iI.A-O
City Pv ~~ phoneb83-7i:>77
.
Supervisor License Number .> l{1l(f'
Expiration Date ID -9;Z
Constr Contr. Number lo.!> 6'7 7
Expiration Date /- 77-
Signature of Supervising Electrician
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Oyners Name ,-TO., CL sllil(e,
Address_ /2-<!.5. rp~48NJ:C 'P )
Ci ty S If) Phone
lJ
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for ~ale, lease or rent.
Owners Signature:
--------------------~-~----------------
DATE: 12- Cf- 7 b
RECEIPT 11: :L:::Hro";L., ,
RECEIVED BY: tk-.
ELECTRICAL PERMIT APPLICATION
City Job Number qh( (0(&
3. COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dyelling uni t.
Service Included:
It ems 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 'Dyel1ing .
- :$
Service or Feeder 40.00
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
$ 50.00
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
One Circuit / $ 35.00 :is
Each Additional
Circuit or yith Service L
or Feeder Permit ~ $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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