HomeMy WebLinkAboutPermit Electrical 1997-11-4
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SP.FIELD
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zoning, and does' not require specific l(lnd us 0 :
approval" Lri.; . THIS PERMIT SHALL EXPIRE IF THE
ZOnlna,' AUTHORIZED UNDER THIS PERMIT IS NOT
Dl'lte-LI... ~ -q:f COMMENCED OR IS ABANDONED FOR . '
A2~~zE1iE'J[JilatSlJfREET (\ (Y\.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ANY lCSO DAY PERIOD. q '7/ S d:2
INSPECTION REQUEST: 726-3769 Ci ty Job Number 5 -J
OFFICE: 726-3759
3~ COMPLETE FEE SCHEDULE BELOV
1. LOCAlfON,fF,INSTALLATION
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JOB DESCRIPTION
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.
Electrical con,tracto~("UJI1k;6 6.~a!'/
Address~/' Sip. <=.1.. VIA s7- ,
.
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Ci ty ~A' . Ph~ne 7'/7 [)-t?~?
Supervisor License Number 313 -5- /S"
Expiration Date /0':'" tj~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. it or portion
thereof
Each Manuf'd Home. or
Modular,'Dwelling'
Service or Feeder
$ 85.00
.
$ 15.00
.
$ 40.00
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
Reconnec t Only ,
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Constr Contr. Number 77o/)-r ~ Po345~ Installation, Alteration or Relocation
Signature of Supervising Electrician
~u~eh~.
, ~n:rs Name .r; A/f A c:~
Address ''$6'3,) j)~
0, One Circuit
City Phone lc(Y;, /3 3/ Each Addi tional
~A~~ ~/~p Circuit or with Service
OVNER INSTALLATION~/v~/l~: ~.or Feeder Permit ,I $ 2.00
The installation is being made o~ E. Miscellaneous (Service/feeder not included)
property I own whi~h is not 'intended -Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Expiration Date /o-? 5-
ItP-Q3'
D.
Ovner~~~gnature:
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DATE~----frtLl-tCf~---=------------
RECEIPT #:' I/J. (Y) -/'-tn 0
RECEIVED BY: J: - (//11. ~
5.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
see "B" above
volts
Branch Circuits
.
.
.
New, Alteration or Extension Per Panel
I
,~.1).O 0
.
).00
$ 35.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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