HomeMy WebLinkAboutPermit Electrical 1996-10-18
SPRelELD '
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
. submitted has e v. ....
The following proJec\ ~quire specific land use
zoning, and does no. , . '
approval. I 1\/l ~
Zoning~ -
oatejO/ Ii /~(t
97477 , tJ ""_
7M'ib3rj7~ SIgnature
,
ELECTRIeAL PERMIT APPLIeATION
-
-
eity Job Number
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3. eOMPLETE FEE SeHEDULE BELO'il
1. LOeATION OF, INSTALI4tION
2.~'?WKA~L p~ . A.
. , '
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
J~-C::>~.,A '/~ 7"':Sr L:> ~ ~O
JOB DESCRIPTIO~
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Items eost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Ser~ice or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
~ I~ ~ I ,r Installation, Alterations
Electrical eontract~~~f~~~~~ Relocation:
Address 3/6. s:; S'~ncf ~ ,200 amps or less
~ _ J ~ / /J ' 201 amps to 400 amps
eity<)~ Phone 7<(7 /.-P8~ 401 am[>s to. 600 amps
/'1' 7 <f7 ~'7&f 601 amps to 1000 amps
Supervisor License Number 3 7 ~ 5"" .s- Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date.ft1- i;) /L:>.../-<98
e. Temporary Services or Feeders
Installation, Alteration or Relocation
eonstr eontr. Number 7~O~~.
Expiration Date ,1..:' f'j:' /<:?~/P-?'7
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Signature of Supervising Electrician
:t~A if'12k:A
'~ners Name_J2~vr/J.~L.-'-L~ff~: D.
. - -C". " . .~-- - -- --- --
Address:2~?3 ~~~L .~..
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ei ty ? ?r?b> ~ Phone L:s ":", '.;~,~.~~,~'~
O'ilNER INSTALLATION
Branch Circuits
, ,"
New, Alteration or Extension Per Panel
One eircui t ,V" $ 35.00 ~,5':d-eJ
Each Additional
eircuit or with Service,
or Feeder Permit ~ $ 2.00 ~
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/eomm $ 36.00
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
-------------------/:------------------
DATE: /o/I~I 7(,., ,
REeEIPT #: ' I Z. ~ 5":/ 2-
RECEIVED BY: . /~.-.
Pf"'" ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
tOTAL
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