HomeMy WebLinkAboutPermit Electrical 1996-6-25
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zoning, and does not require specific land use
approval.
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Date J..CL '5 . CUt
, Zonioo
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorlzed Signature
97477 .
726-3769
1. LOCATION OF INSTALLATION
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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 5/~}.- ~6!~
Address (~ ~~ sT.
Ci ty $d~' Phone 7~'" 2~2f
OVNER INSTALLATION
The installation is being made ori
property I own which is not intended.
for sale, lease or rent.
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RECEIPT #: :i...2./~ .y.,-. .
RECEIVED BY: . . /7/ .-7 ......-,
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ELECTRICAL PERMIT APPLICATION
City Job Number 9~ 7CJ~
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
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
Install~tion,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 amp~.oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see nBn above
D.
Branch' Circui ts
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 1<):dO
Each Additional
Circuit or with Service
or Feeder Permit 2-. $ 2.00 4,tJ'7
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
I
5. SUBTOTAL OF ABOVE :~7 ::no
5% State Surcharge I we
. 7-"
3% Administrative Fee II L7__
TOTAL 4-,;L~ I~