HomeMy WebLinkAboutPermit Electrical 1996-10-16
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SPR'NGFIELD
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The, following project as submitted has the following
zoning, and does not require specific land L;se
approval. II 7
225 FIFTH STREET Zonino qyvJ'
SPRINGFIELD, OREGON 97 43J..e I b ~ I(r"7l(
INSPECTION REQUEST: 726-~/b~ '
OFFICE: 726-3759 Authorized Signature tJ ~
ELECTRICAL PERMIT APPLICATION
City Job NumberCCb I ~tO&
1.
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
/ JOB DESCRIPTION
/AYa-t,i-r
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
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
Electrical Con tl."ac tor-:IDYj Palm.t.tJ ~
Address V,D. ~ ~z... "
City~ CJ.br Phonetf((..1;>q1
Supervisor License Number 1,-t~~~
Expiration Date JO-Q'7'
Constr Contr. Number 2J)--1~0
$ 15.00
$ 40.00
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 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00 '
C. Temporary Services or Feeders
Insta}la.tion, Alteration or Relocation
Expiration
to - '16
$ 40.00
$ 55.00
$ 80.00
City
200 amps' 'or less
201 amps to 400 amps
/' f 's pe~ lectridan Over 401 to 600 amps
r ~ Over 600 amps or 1000 volts see "B" above
--- I t() C./ -I-: .I D. Branch Circui ts
Owners Name Itet#b, rfI-U ~.PI/I~ New
! Alteration or Extension Per
Address 'lfor;{J ~f/hMU'a1 _ it? '
7 / r.' ~ne Circui t
Phone 7(",-/ra--//7515 Each Additional'
- Circuit or with Service
or Feeder Permit
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Panel .
$ 35.00 :5~tD
OVNER INSTALLATION
$
2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res,
Limited Energy/Comm
no t. included)
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DATE: 1(/ ,-( f9' - q c- '
RECEI?l #: _ 'L~tt i
RF.r.F.TVF.D BY: If'
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S
$
S
$
-3;~ crD
I , 7 t.::)
J. '0 c:;-
o!? 7 R/'J
40.00
40.00
20.00
36.00
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Owners Signature:
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