HomeMy WebLinkAboutPermit Electrical 1997-12-19
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Owners Name 7J'n .;t?/~, ~
Address ~~C ~~.A'?c'
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City ~~~ :;ne~~7?
OVNER INSTALLAtr~N
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorizxt Signature
97477
726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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psJOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspe~ded for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~
Address
Ci ty
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE: /':2-/~~97
RECEIPT #: ~ ,Q-~!A
RECEIVED BY:./. ~ '1 _-'"
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ELECTRICAL PERMIT APPLICATION
City Job Number
97/7~
3, COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling 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 'Dwelling
Service or Feeder $ 40.00
B. Services 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 -- $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~
5% State Surcharge '-~_-.?
3% Administrative Fee 'l. ~
TOTAL c.r=t. '2~
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