HomeMy WebLinkAboutPermit Electrical 1998-1-7
The folloWing pro!:"'. "'''q~~;~~' ~;J&ci1ic i~J\d uso
zoning, and does 1,0, ra . ,
. approval. . ,. /
Zoning t {}!II
Datelr.,--q 't.
225 FIFTH STREET . e n yV\
SPRINGFIELD, OREGON 974.v'1horlzed Slgnatur
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
J5.1tpl. LOCATION OF INSTALLATION
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JOB DESCRIPTION- ,.-
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT t\~LICATION
Ci ty Job Numb:r lA\l \ 5A{)
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 . ,[ " $ 85. 00 .' ~
fI5'
Each additional 500
sq. ft or portion ~ -~
thereof $ 15.00 :::::t-t.
Each'Manuf'd Home. or av~
Modular. 'Dvelling'
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION O~ ,B. Services or ~eeders
,1 AJ~~~ Installation, Alterations
Electrical Contractor L~n'IVI&fJ;f!~7rh!,~T or Relocation:
-<1. ~OA ~.
Address4~~ ~H~(') ~ _ .'Jj4l.~. 200 amps or less $ 50.00
. :..:--~ ~ t : 201 amps to 400 amps $ 60.00
City~PfO Pho~.~",~l ~'-'-~" 401 amps to,600 amps $100.00
, . f~ \...<:"0 ,..~S '''>.'9.....01 amps to 1000 amps. $130.00
Supervisor License Number 3~-'l:.o~/t') ~li Ov,e,E 1000 amps/volts $300.00
,. I ~ o. ~~.-9.4 v-4S"q. R~d/~~c t Only $ 40.00
Expiration Date 10 - - 70 . OD I'i....!"/'J' ~O~.t...
. .. C. Temp~A}AY' Services or Feeders .
Constr Contr. Number 0/ f' 3'~ In~~~l~ion, Alteration or Relocation
Expiration Date b./ f - 7~ 200 ~mps"oT less $ 40.00
201 amps to 400 am~s $ 55.00
Over 401 to 600 ampS- $ 80.00
Over i 6:00" amps or 1000 vol ts see "B" above
s~z ~iSing=~dan
Ovners N~ Wn~,l 0)1\:S
Address~9? 0AQrP OUoQJ
City ya~(Il(L . Phone2*\-O\'CD
OVNER~NSTALLATION
The installation is being made on
.property I ovn vhich is not intended
for sale, lease or rent.
Ovners~~~gnature:
---------- ' -r;-"l7-
DATE: {- r / -\.-{ D
RECEIPT fi': (J I /,~ ,
RECEIVED BY: (-))~'--'
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D. Branch Circuits
,.
Nev,.Alteration or Extension Per Panel
One Circuit
Each Additional
Cir~uit or vith. Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Se~~icejfeeder not included)
-Each installation<,t.;(
Pump or irrigation ",.
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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.,,~74;?
. $~ '7~
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