HomeMy WebLinkAboutPermit Electrical 1997-4-3
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The following project as submittod h:,s thn fo:lo\'!
zoning, f:1.nd does not require spE;ci;ic l.lnd U';;.l
approval.
Zoning-.1- 'D \:\.
225 FIFTH STREET Date J.t /'3 .!J:.::h.~
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726.J3..7~ized Signature
OFFICE: 726-3759
1. LOCATIpN OF INSTALLATION
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LEG~ DE~~TIffION O\l" .....,
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, JOB .DES~R}PTION
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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.
CONTRACTOR INSTALLATION ON/LY
rical Con trac tor
/
City
~
Supervisor
Expiration Date
~
Constr Cont~~ Number
ExPiratio/Date
of Supervising
Owners Name gJU ~W
Address gtJg j ai1u 5'1-.
Ci ty .31~itakll ~hone 9ft -~'z9J
/Ii
OVNER INSTALLATION
,
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Olm~igna t: / (
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RECEIPT 4t. I ( -/ 2~ Q
RF.CElVED BY: . ~
"
ELECTRICAL PERMIT APPLICATION
30 <}""""'lob Nomber <\l D ~
3. COMPLETE FEE SCHEDULE BELO~
A.
.B.
C.
D.
E.
5.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
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 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
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
litcl:()'D
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80,00
volts see "B" above
Branch Circuits
, ,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t .:2.i!J
$ 35.00
I . .
$ 2.00 ~;cr;
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40,00
$ 20,00
$ 36.00
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