HomeMy WebLinkAboutPermit Electrical 1996-4-16
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SPRINGFIELD
The following project as submitted as 0 0
zonIng, and does not require speclflc land uoe
approval.
225 FIFTH STREET CliO
SPRINGFIELD, OREGON 97477 Zonina OV........
INSPECTION REQUEST: 726-&J.S>9 4-t{i?'-'t~
OFFICE: 726-3759 S ,C).
Authorized Signoluro V.
1. LOCATION OF INSTALLATION
.SOO FuIVVli'l.t.I
VI'r!)1{IL IfES%\PTION
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JqB D,ESCRIPTION /
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Permits are non-transferable and expire
if work is not started ~ithin 180 days
of issuance or if,work is suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
El~ctrical contractor~~~.~~~('o
Ad'dr~ss-2...l:l $"'''_hr f-t.
Ci ty r:; U,~/'tI Phone G 1 {.. :f 1'1J
Supervisor License Number ~~-;.7b,~c;
Expiration Date JO/.J/C(J,.,
Constr Contr. Number ~<..Ij q;<
Expiration Date );)/CfL
s~;re~ s~rvojng E.l:t~ician
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Owners Name.)JJJ-( (A-
Address ~ 0 0 HWwl'h/
Ci tySfr-ll';A"JJ Ph~ne--.!tlr- ;)S-Jf-/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT ~: \. I I 1\ '1'\ \.
RECEIVED BY: lJ-'\W-- o-\\;cr-;\
ELECTRICAL PERKIT APPLICATION
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City Job Number
':;':;..;:~..t. r..': SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
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
$ 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
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
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 not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm --L-- $ 36.00 ~
5. SUBTOTAL OF ABOVE :$ (" D0
5% S ta te Surcharge I. Y t;
3% Administrative Fee I ~~
TOTAL ] 1- _