HomeMy WebLinkAboutPermit Electrical 1997-5-22
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zoning, and does not require specific '<'.no use
approval.
Zonina t V
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Date( '5,1~
97477 Authorized Signature tJ h 1\
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
k9~TION OF INS~kATION . Q
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\ ~1f~~~~ON[)~~J
JOB -rtS~P~ON \l \t \\'~lllif
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if work is not st rted within 180 days
of issuance or if work is suspended for
180 days.
1.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor '~j'4r~
AddressJCJ ~ \~8~ry_
City ~~ 0--.. Phone 1\:\ tt3Jl
Supervisor License Number \'-o~lo~
Expiration Date \\).\.C\~
Constr Contro Number O?J~A({
Expiration Date CJl.\.CJ\1S
Signature of Supervising Electrician
~~t/~
~e:s Name~~ ~(\r\ah )
Address \~ ~ ~~ ~tW
Ci ty \\\.\~0l1~ 1 wPt Phone1JJ{).~'J[; \~\~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 5"--:<;>....5' ?
RECEIPT #: L 5'~ S
RECEIVED BY: /' ~~...L .
'//-
ELECTRICAL PERMIT APPLICATION
City:'b Number C\l()':Jl-
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
,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 a~p~_
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00 ~~S
Each Additional
Circuit or wit~ servi~Cl $ 2.00 '18' .
or Feeder PermIt
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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