HomeMy WebLinkAboutPermit Electrical 1997-11-17
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The following project as oubmittcd h~s tho lo'!c'::;'. ,
zoning, and doen not require cpcciiic t:nd :...-..:
approval.. \ A .;
Zonlna (}- V
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97~t\/ 11'01
7~~ Signature
f\,,^
1. LOCATION OF INSTALLATION
72.25 81/--<r~.
LEGAL DESCRIPTION
/~tOz. $.2. 2/ ,.o/unrJ
,
JOB DESCRIPTJ;QN ~
5&R~ ~~//~~~tJ
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical
~ess
Cit~
Contractor
/
Phone /
Supervisor
Expiration Date ,
Constr co//'mbe~
Expiration Date ~
./
Sign~re of Supervising Electr~
Owners Name_~ ~/C;
Address 3~ ~ t7 '3 ~ 5.W,
Ci ty ~6rr ~hone fJS")' 3)5'- 9'k>
ffiz.o, ,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
-.
DATE: -------,1J'7 L 1 ') - --------
RECEIPT #: '7'lbIO-~
RECEIVED BY: ~
... .
ELECTRICAL PERMIT APPLICATION
{'i 1;y Job Number. 9:~/ (oJ-(..
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dwelling'
Service or Feeder $ 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
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 40~
$ 55.00
$ 80.00
see "B" above
t.--
volts
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
J. '-0
.d 7.U;>
, a..
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL