HomeMy WebLinkAboutPermit Electrical 1996-1-9
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approval. 'fJ, .
Zoning rt. ,(L
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726"'-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION O~STALLATION c=_~
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LEGAL DESCRIPTION
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-1@_DESCRIPTION
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Permits ~re 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 ONLYB.
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Electrical~tractorc./ W4"'dF~_"5 _<;;'/j:? ..
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name~1VA' .4.. ~~ D.
'Address -:2'2.."",? / fr-~(T ;::y----,....
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O~ ~NSTAL~7
The installation is being made on E.
property I ownwhi~h is not intended
for sale, lease or,r~nt.
ignature: "
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_________________________________ 5.
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RECEIPT # :2~2.~ .
RECEIVED BY:/~,.
EI~CTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
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
Services or Feeders'
Installation, Alterations
or Relocation:
200 less ......--- $ 50.00 6tt>
amps or ~,
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 a'mps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limiied Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge'
3% Administrative Fee
TOTAL
$
$
$
$
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7-~
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50/. ~o,
40.00
40.00
20.00
36.00