HomeMy WebLinkAboutPermit Electrical 1997-12-9
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SP.FIELD
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D;t3.!~~1-C;.::;. ELECTRICAL PERMIT APPLICATION
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726-3769 ure--L I ~ Ci ty Job Number 4? /~ ~
3. COMPLETE FEE SCHEDULE BELOI/
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION O>fJ)!TALLAT!J>N.
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JOB 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 suspended for
180 days.
2. CONTRACTOR INSTALLATIO)!)!~/Jtu.a..
J(~~P Electrical contractor~,~
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Ci ty .:>011l1<'{. Phone_ (, v U - / rtJ )
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Supervisor License Number l<-lJ 4(f{fJ'1
Expiration Date
Constr Contr. Number
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Expiration Date
Signat~pe~Electrician
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Owners Name
Address
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Phone 1'Jt.f/-O/3J-
City
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OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: /2 ,~,??
RECEIPT lI: '2fff2J~
RECEIVED BY: ~y - #-
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
.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
.Reconnec t Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
,/ $ 40.00 ~~
$ 55.00
$ 80.00
volts 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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