HomeMy WebLinkAboutPermit Electrical 1997-12-4
The following project as submitted has the following
zoning, and does not require specific land uw
approvel'
ZOningL.ct.-V
225 FIFTH STREET. ,ate [L ,. /1 ~
SPRINGFIELD, OREGON 994li ~
INSPECTION REQUEST: ~06o$J~~lgnature (\rV\.
OFFICE: 726,-3759
1. LOCATION OF INSTALLATION 1).1'
'} 55-0/' f~4.I~(
LE~~ DESCRIPTION .
Ii U:5 .:24 ;)301 (JO I
I~JOBDESCRIPTION
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Permits ~re non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
I .
Electrical Contractor
~"
Ci ty ~
Supervisor LicenB
E . ' rA/
xplratlon uate
Signature of Supervising Electrician
(j,'et'<LI8tJd!/ Co n-h2(j /~~
Owners Name ~$,- 17~"".-::; f- -
I .
#I/~~ (Q.Pi:-
Ej Phone ~(t:3f)"i
OVNER INSTALLATION
Address
City
The installation is being made on
property I own which i~ not intended
for sale, lease or rent.
Owners Signature:
---------.--r--~---------------------
DATE:/J----- 'f~ '17 .
RECEIPT #: ( )L 'il 7 I J . . .
RECEIVED BY: I) - 'I na~/I.~
ELECTRICAL 'PERMIT APPLICATION
r.i ~y J()b Number 9; / &; 3 Cf
3. COMPLETE FEE SCHEDULE BELOV
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 $ 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
y $ 40.00
$ 55.00
$ 80.00
see "B"
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o~ 1000 volts
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 ot irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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