HomeMy WebLinkAboutPermit Electrical 1999-9-17
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The following project as submitted has the following
zoning ana does. not require specific land use
2.2.5 FIFTH STREET approval l () n ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning , . 1'\ QCJ
INSPECTION REQUEST: r~.'6-3769 9, 1l-9Q City Job Number / ///tf:,7'
OFFICE: 72.6-3759 'h.Te
L LOCATION OF INST;:;,:~~~;,g:ture'J C){J 'L
/ /20 P;4;U/./'/CT1}"" sc;. V. A.
LEGAL DESCRIPTION
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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.
Electrical Contractor ~EN /J?/Jqr--hor--
t7
Address26 we .;..L., ?k, # 62-
Ci tydlf"~;J-<- ~ Phone 5??O:-h9t?'Cj'
Supervi.sor License Number .d..L?T 9.] L
Expiration Date i-c70
Constr Contr, Number
Expiration Date
. Signature of Supervising Electrician
'f-.-
Owners Name ~B kaoc.A
Address )/20 ?J4YA!t//1UJ
City <#'~ Phone 1.2"::; "-~~j'
OVNER INSTALLATION
The installation is being made. on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
r.OMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items
Cost
Sum
1000 sq,ft. or less S 85,00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd' Home, or .
Modular. 'Dwelling A /7
Service or Feeder ~. $ 40.00 7-:,,00
~ m.H. eo.v~~ e..vL.l
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
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
no t , included)
Miscellaneous (Service/feeder
-Each installation
'Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
SUBTOTAL OF ABOVE
'l'bState Surcharge
37. Administrative Fee
TOTAL
DA~~~---------~~~JiJ--------------- 5.
RECEIPT U:, '" :'\ 1~): }
RECEIVED BY: ~ -(/>-:>::?~
NoTe.' sqg~ ~4'.6r/7' If /f'C9?t'1~6V ~ ~!AL-
~~,---
$ 40.00
$ 40,00
$ 20,00
S 36,00
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