HomeMy WebLinkAboutPermit Electrical 1996-3-18
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SPRINGFIELD
The following project as submitted hl19 the (
zoning, and does not require specitlc land use
approval.
Zonina
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LT) .Q
ELECTRICAL PERMIT APPLICATION
9c..o..:sS2-
97477 Date~
726-376AtrthorlzedSlgnature .s r r.; tv lr~Number
3 _ COMPLETE FEE SCHEDULE
1. LOCATION OF INSTALLATION
1050 ~(\r\.hm.L.l
LEGAL DESCRIPTION
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CJI/a-n
JOB DESCRIPTION .
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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.
2. CONTRACTOR INSTALLATION ONLY B.
Elec trica1 Con t ractor..c.ci,'\ e5l q{ltrU1' , ~1rI~.
\ 1 .
Address P'O.~, 1421-.. .
Ci tY..J~JUSc\~-\i o~ n\, Phone..14.l- #.1. ~~
Supervisor License Number 110 & b S
Expiration Date
//)-1 _ (\ \l
Constr Contr. Number ()1l'i/4Q
Expiration Date q - I - q b
Signature of Supervising Electrician
/2.,;/L ~. ~
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Owners Name nb;no, -J..~
Address 1050 JS:\ 1\ rU 0 'ill \
City.JVI\_\~PhOne '1~b-qq2!q
OYNER IN~ALLATION
The installation is being made on
property I own which is not intended
tor sale, lease or rent.
Owners Signature:
~~~E~------------J~~-~;r~-----------
RECEIPT 11: '2,0 '7/5' AL
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A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Reloca t ion:
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
BELOII
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~o
C.
Temporary Services or Feeders
Installa1ion, Alteration or Relocation
200 amps' 'or 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"
D.
Branch Circuits
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not'included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50.0'0
;2,5'n
J.~'"
5 4-. 00