HomeMy WebLinkAboutPermit Electrical 1997-10-21
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225 FIFTU STREET
SPRINGFIELD, OREGON 97477 Zoning (t./
INSPECl'ION REQUEST: 726l}.764r. 'j-&-'
OFFICE: 726-3759 "'e_ v.....r- ""''::::1-/
The fOllowing project as submnt
zoning, And d00$ net require n .~.~~s tha fO/lo.....t;t
apprcval, p ,<Ie I !n.i EtECTRICAL PERMIT APPLICATION
q~\~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
servic~~or Feeder
~O~
2..' cONTRACl'OR INSTAL0\:TION ONLY B. ~~~ic!'f!.~r Feeders
.. r' \'?-~ \In'ii~t:lation, Al tera tions
Electrical Contract~r OX\:. ~ !O~\'lre~tion:
f'v\ (\ \ ..... _~ CO \y..~ .~C\';\~O
Address \\ nJ _ \'\l ,)\1, '\ .--:-IN.O~'?- ~~~ amps or less
C ~ Iii, :.@ ~S \>l 201 amps to 400 amps
Ci ty r l'Q\ R r\Q...... Phone' I ~~1~~oO' 401 amps to 600 amps
t-. ~"'\AlfJ ~~&v' '?~~ 601 amps to 1000 amps
Supervisor L'tcense '~u'mlier ~~_~~'i " Ower 1000 amps/vol ts
\1"'\. \ . n Q'\ \ - Reconnec t Only
Expiration Date .\) v\l()'
Constr Contr. Number \ ~\~
\~'rl.'1.'0\f\
AuthoriZed Signature
1., ~{.IOAOE:,:WOO~WlN
\rm~~4?I~N
Permits are
if work is not
of issuance or
180 days.
Ocf{clJ
() A r~(Uanu
v \, 0-
-transferable and expire
started 'wi thin 180 days
if,work is suspenaed for
Expiration Date
Signature of Supervising Electrician
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Owners Namern)D.d~._Jl~~(\f(l)( _
Addre I s ~\ \\ \ 0'\4\ '0QQ al"
_ Phone 1'1!rJ 'I?Jb
I~TALLATION '
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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Owners Signature:
------------------------,,--------------
DATE: ,J[)'<'I\,qr).
RECr.Il'T II: 41lJ'J I L- .
RECEIVED IlY: v. 'P1\\i If'/""
Ci ty Job N'P"~er
Orr.A'
COMPLETE FEE SCHEDULE BELOY
A.
New Residen(ial-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
$ 85.00
$ l5.QO
l $ 40.00
"4(}
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ "0.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
New, Alteration or Extension Pe~ Panel
$ 35.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
volts
$ "0.00
$ 55.00' "
$ 80.00
see "B" above
$
/)
c/
not included)
2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
41 ~cO
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