HomeMy WebLinkAboutPermit Electrical 1998-6-12
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The following project as oubmltt
zoning, end does not require .~n~tndhe followln
approval use
Zonlllg U V
Dett //;;2./71 ELECTRICAL PERMIT APPLICATION
97411i1thonzed Signature n fV\
726-3769' E:..~ Job Number 9~0559
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
-Ss%'r C~Ii~ A.
LEGAL DESCRIPTION
/e:c?2- /Ora :2- / D2-3CJO
JOB DESCRIPTION
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Perm1ts are non-transferable and exp1re
if york is not started v1th1n 180 days
of 1ssuance or 1f york 1S suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electncal contracto;B,(('s 'i:ILJ.
Add res s..,1 r 7 () w ( 5T / I ~
Ci ty ...fl!41Stl~ 7'71"'<9.2-Phone ~~ 7 - / ~ 5 I
SuperVlsor L1cense Number 9 J?tJ S
EXpHallOn Date /0 - 9 q -
Constr Contr. Number d-/1 S' I
ExpHallon Date tj-;)- f ---- 99
~u;G:ing El?
Ovners Name ~l) / ~}"?J
Address 3.~ 'Tb/ ~.e--~
Ci ty {,(1 j7l Phone.~ 7f"~ - '155'0
OllNER INSTALLATION
The 1nstallat1on 1S be1ng made on
property I ovn Vh1Ch 1S not 1ntended
for sale, lease or rent
Ovner~Signature:
~~~~~-:~------~~~~~$~~---~-----
RECEIVED BY: - ./f?~/~iU.
Or{ ,. -- / '
3. COMPLETE FEE SCHEDULE BELO\I
Nev Res1dent1al-S1ngle or
Multi-Fam1ly per dvell1ng un1t.
SerV1ce Included.
Items Cost
Sum
1000 sq.ft. or less S 85.00
Each add1t1onal 500
sq. ft or port1on
thereof S 15.00
Each Manuf'd Home or
Modular Dvell1ng
Serv1ce or Feeder S 40.00
B.
SerV1ces or Feeders
Installat1on. Alterat10ns
or Relocallon.
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
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installation, Alterat10n or Relocat1on
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 C1rcu1ts
Nev, Alterat10n or Extens10n Per Panel
One CHCUl t V $ 35.00 =5')'''0
Each Add1t1onal
C1rcu1t or v1th Serv1ce
or Feeder Permit / $ 2.00 2..~
E. M1scellaneous (Serv1ce/feeder not 1ncluded)
-Each 1nstallat1on
Pump or 1rr1gat1on S 40.00
Slgn/Outl1ne L1ght1ng S 40.00
L1m1ted Energy/Res S 20.00
L1m1ted Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE 37. ()""V
57. State Surcharge / .z.,)
37. Admln1strative Fee /. /1
TOTAL ? <;'.5'16
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