HomeMy WebLinkAboutPermit Electrical 1996-8-8
ehe following project as lOUbmitted has the follOW. '" .
zoning, and does not require specific land use
r~nnr(w SPRINGFIELD
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'225.FIFTH sTRBI:h'
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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Authorized Signature
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II LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
17 (J 2,;). 0 ':2t4 () 7 YiD7)
l JOB DESCRI]TION .
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
'\
lo~ners Name / ,ltJyd BQrbe_o .J
Address }l~J Cut3k WaLl
CitySpC[d Phone 7'f7-~1:2 7
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Own"} t:1/J ~
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
~-fi-t1(d
2-Z-~' c.{ /
~
A.
,B.
'/rVl
/
ELECTRICAL IT APPLICATION
City Job N er I/h( 08'7
~ ~
COMPLETE FEE SCHEDULE BELO~
Ne~ Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ qO.OO
Services or Feeders
Installation, Alterations
or Relocation:
50. ttD
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
y
$ 5,0. 00
$ 60.00
$100.00
$BO.OO
$~OO.OO
$ 4.0. 00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D.
E.
5.
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ L,O.OO
$ 55.00
$ BO.OO
volts see "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service.L:
or Feeder Permit )(-) $
2.00 /O/JO
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
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20.00