HomeMy WebLinkAboutPermit Electrical 1997-9-29 (2)
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The, tollowing project as sU,bmitted has the follow/nd
zoning, and does not reqUire specific landuslii
approval.
Zoning !.-d.--r2J '
22S FIFTH STREET Dat(~q~ '
SPRINGFIELD, OREGON ,@u?i;jJ~ SIQ.' ' I ""
INSPECTION REQUEST: 726_3T69na,ure ~,
OFFICE: 726-3759
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 vork is not started vithin 180 days
of issuance or if vork 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
Ovners Name cJ ~tfp,~ -:7J/AcS"d>J D.
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Address ,R /J~ .7!562-
Ci ty Euc; _ ;,;?,~hone 1&:....31a.?
OWNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners#Signature: "
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RECEIPT #: /' / A , ZZSdo
RECEIVED BY: 1;'F ~ 1
ELECTRICAL PERMIT APPLICATION
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r;ity Job Number
,17/-~,7 ?-
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling 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'Dvelling'
Service or Feeder
S 85.00
S 15.00
$ 4'0.00
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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200 amps"or less -- S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Ove~ 600 amps or 1000 volts see "B" above
Branch Circuits
,.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith"Service
or Feeder Permit
,$ 35.00
$ 2.00
E.
Miscellaneous (Ser~icejfeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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/1. 0
d ''t L:O
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL