HomeMy WebLinkAboutPermit Electrical 1996-12-18
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SP"FIELD
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
.zoning, an'd does not requ' me.. s the followin
apP'O;':ot" . ~<>C'fi' I'nd U"ELECTRICAL PERMIT APPLICATION
974f}o/,r;)_ ).. J<jji& - --' n,.',r _I' l v--J
72k.y3J,69,., S' '., J YVI II~ Ci ty Job Number ~l \...lZ lu- 0 /
,.."n.::",,,,, 19nature t7'\ I II l ~
3. COMPLKft; 'FEE SCHEDULE BELOV
1. . LOCATION OF INSTAL~TION f
3~ol') C()Jr] me rCiO IS,
LEGAL DESCRIPTION
n () Ax3 J I J.- l'lIo (/J tJ7j
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
JOB DESCRIPTION
/1] 5fa// L <).ec' u r/fv
I
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
Electrical ContractorSonitrol Security/
"
\
Address P.O. Box 21009
City Euuene
Phone 461 -5678
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Supervisor License Number 1!oF?q t<..ET
Expiration Date /()-/-qc;
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
Expiration Date 6-28-96
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Si::7 J$Actric:
, -\..'" . - ~JvYl D. Branch Circui ts
Owners Name IOrryGr'J Cf?-d.a.rZts1JU.)6L-
New, Alteration or Extension Per Panel
Address I..-<;t7rrLl'. (~&6D CoW...fYVA/,r'o) 5)
One Circuit
City-~_... rhone_74h-~.50';< Each Additional
~- Q7L-/,"7c/ Circuit or with Service
OVNER INSTALEATfoN or Feeder Permit
$ 35.00
$
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/Comm I $ 36.00 3~D()
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~~~~~{~~;LK~-f~-:-~~----,--=:-
RECEIVED BY: ~. UJ,yLU/\ aP-
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
-.3(00-0
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3g~
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