HomeMy WebLinkAboutPermit Electrical 1996-6-25
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SPRINGFIELD
The, following project as submitted has the I
zomng, and does not require epeelflc land u
approval,
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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D>te.1/J . ~ 1'1iI~
97477
726_37~ed Slgnatu...
Zonina
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 york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractorf..i!.gP~O(\iM(\ ).."'IlJe.,.
I I
Address P,D. W tl/-g1->
Cit~i\l~io~"ci.) Phone '74/-1,:1.:'>.h
Supervisor LIcense Number 110 ~ h S
Expiration Date IO-I-q~
Cons tr Con tr. Number 0:\ R l./.q
Expiration Date q - 1- q 10
Signature of Supervising Electrician
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Oyners Name mnl~- .i\.ut,un]Qfi\.M'1)
Address-Llj. l' n. w (1,~ J:j--,.
City.J.rl\] I'I1.~Phone14('-%b1
, OIINER INff~LLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: h.7""'9~
RECEIPT #: ~"::t."':L/3
RECEIVED BY: ~ /-9 .6---
ELECTRICAL PERMIT APPLICATION
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""Y Tnh Number
9~C::>8 SI"'7
3. COMPLETE FEE SCHEDULE BELOII
A.
Ney Residential-Single or
Multi-Family per dyelling uni t,
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00 35'.00
$ 2.00 1..DO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
M,oO
I, ~S'
L tl
3Q.q{,.
40.00
40.00
20.00
36.00