HomeMy WebLinkAboutPermit Electrical 1996-8-8
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zc~in~, and does not require specific land use
approval.
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9747 tuthOrlzed Signature,
726-3769
1. LOCATION OF I~~;fION
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LEGAL DESCRIPTION
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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 INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name c::: t:/ I"..A-:", }
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y
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signa ture: , ./
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~~~~~~--~~--------------~-------
DATE: ~/~r~ '
RECEIPT tt:( '{ '~.,2.~93 .
RECEIVED BY: ..#"'~
ELECTRICAL PERMIT APPLICATION
City Job Number/bt'J93 r A
3. COMPLETE FEE SCHEDULE BELOY
7N\
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion'
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 L--- $ 40. 00 4tJ~
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 Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administ(ative Fee
TOTAL
$
$
$
$
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40.00
40.00
20.00
36.00