HomeMy WebLinkAboutPermit Electrical 1997-10-14
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The"following project as &ubmrtted has tho follow!ng
zoning, and doe~ not raqulro specific land uoo
approval.
Zoning ~ G
225 FIFTH STREET De!.ll\-1 Lj--'1., ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9U!I7,lrized Slgnatur. II rv'\..,rnL_ q 7' /dl'C' -}
INSPECTION REQUEST: 726-326.9. ---, I'il'\\:. ~~vmty Job Number ..,-7 X
OFFICE: 726-3759 _ ~O'{\\.it.'. ",\.L E~?\f\E \ ,c.1Il0i .
u:>.Pl=R~\i Sl'\ il'\\S~Ef\~T>I'lPL:ETE FEE SCHEDULE BELOII
1. LOCATI9N OF INSTALfiA\prOO "~D UI'lDEf\ I'll=O I'Of\
q ;;Z ,1 z( tJ:2. 7 tI AI \,.~~1r"'<: ~t.- '.~ f>,ep.~9 'Nev ~esid~ntial-Single. or .
, ' ~~EI'lC\:.u ., Hul tl-Famlly per dvell1ng Unl t.
1 LEGAL DESCRIPTION CO ..anJ)p.'{ f'Ef\\OD. Service Included:
7()~'?;c:,LlC)... n4,vf}rwvy , Items Cost Sum
JOB DESCRIPTION
J2( olaf'''- / xrShr. '1 h:t.,'i~ol
I J Se...-rv,,~('
Permits are non-transferable and expire cJ
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
1000 sq.ft. or less
'Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dvelling'
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor, 'J:Kc;, E::lufriC,.;,ln,-
Address '2./'5L 1)0,\ St'rcc...f
Ci ty Sp,.i "'5 ~,e,{d Phone 1.J.~-tllD~l...
Supervisor License Numb~r ~l q.I(S
/O-/-C;S--
Constr Contr. Number L..}SI2'l
Expiration Date
Expiration Date ;J- 2tl-tJ??
Signatur~ Jf SUpervijing Electrician
~fl!~dt ~,}IJJ,.Jb-VIr!w~~
Ovners Name H 0lA 0 jcj.,a rds ern D.
Address ~c;?2.71 I} Sf Ave..
City H()rc'Z-rY"t? tJ/Z..Phone qq]- ~9tJ/
OIINER IN~lt~tON '
The installation is being made on
property I ovn vhieh is not intended
for sale, lease or rent.
Ovner~signature:
-,
DATE: /0 - /4- '7 7
RECEIPT 11: :2, r r>Cf c.../
RECEIVED BY: oV/' j I
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 IO()~
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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