HomeMy WebLinkAboutPermit Electrical 1996-1-10
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726-~76~ '. L). -(3i..y-:1'ob Number 15-/55'1
J.\1.l1.f\orlted s\gnatura-:- f-R'T
. 3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. Lo.C,ATION OF J:!,/STALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permit ~~n~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 ~fV ~
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Phone 72-1 .-/SOV
Number 7'rf.t".-S
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Constr Contr. Number ~"-,;28CJC:.-
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Address /O~ Z-
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Supervisor License
Expiration Date
Expiration Date
Signature ,of Superv~sing Electrician
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Owners Name .~..' .. ~
Address I~ 77 ,~ . ?7. .
City ~rLD' Phone"7.Y6~~9/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
Owners. Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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A.
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 ~me 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
;fi!i::P... ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alt~ration.or Relocation
200 amps"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 "B" above
Branch Circuits
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each 'Additional
Circuit or wi th Service _'0
or Feeder Permit / $ 2.00 --z... .
Miscellaneous (Seivice/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$
-.a 7. ca.Q.
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:;2.%
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40.00
40.00
20.00
36.00