HomeMy WebLinkAboutPermit Electrical 1999-12-30
02/11/98 10:22
'8'503 726 3689
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SPFD DEV. SER.
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tal 001
The following project as submi,tted has the fol/owing
zoning, and does not require specific land use
approval. i , L 0 YL-----
Zoning
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225 FIFTH STREET Date
SPRINGFIELD, OREGoN 97{l.~ii1orized Signature,
INSPECTION REQUEST: 726-3769
OFFICE: 72~-3759
!tECTRICAL PERKIT APPLICATION'
Ci ty Job Number 99/-5"'27
3. COHPLETk FEE S"ar.ulJLE ,pELOV
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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, JOjl DESCRIPTION, !
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Permits are non-transferable an9 expire
if work is not started within 180 days
" of issuance Jliif work is suspepded for
180 days. j
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2. CONTRAcrOR INSTALLATION ONLY , ,B.
Electrical conlraclO~ ~g€dP ~
Add ,,\ I ~<t- I f\~ ~\:::::i
ressc:::f1 'J~~ ~. _ I i,':
Ci ty't;" <>;\{Y'C Phon~:&~) ,
SupervisoY License Number :A...~~
Expiration Date )()JO'/C!>I ;,
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Constr Contr. 'Number '11 dS'a-
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Signature of S~ising Electrician
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o{t:s Name#~ 4:v;;~~i'.~.
Address
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Expiration Date
. City
Phone
OWER INSTALLATION
The installation is being made ~n
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATF.~2~IS?5tGJ'!--- " / -----------
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RECEIVED 'BY: n ~ I iU(J/JC(..t'J ( ')
Ne~ Res'idential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each add i t i onal 500 '
sq. ft or portion
thereof $ 15.00
Each Kanuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
200 amps"ar less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 50.00
$ 60.00
$100.0Q
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation~ Alteration or Relocation
Ser~ices 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
9ver 1000 amps/volts
Reconnect Only
S 40.00
S 55.00
$ 80.00
volts see "B" above
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Nev, Alteration or Extension Per Panel
$ 3S. 00' -::j>"!5:"
One Circuit
, " Each Addi tional
Circuit or with Service
or Feeder Permit ~
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$ 2.00
l/
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting. $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE "'3" ,.oz>
"Jr4State Surcharge '? .?~
3% Administrative Fee' 1 _ {7
TOTAL ~2 . '9~