HomeMy WebLinkAboutPermit Electrical 1996-9-12
The,loliowing project as oubmllled has the foltowl
z:m:ng, and docs not require specific land use
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Zoning U 1?5L-
225 FlITH STREET Dme Cj , \ 0 '1/1.11 ,__ 1\
SPRINGFIELD. OREGON 974 nuthorlzed Slgnotu... '71Y I
INSPECTION REQUEST:' 726-3769
OFFICE: 726-3759 '
\ I::},(\LqCA'!20N OF INSTALLATION
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, J9B 'DESCRIPTJjlN r--
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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,
Expiration' Date
7 t:f ijJ? I
/17 / r / ~.L..
Supervisor License Number
Constr Contr. Number f? 0 '? iJ,....,
~/,//~?'
Expiration Date
Signature' of SupervIsing Electrician
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, ,Owners Name r7 /~(' ~;j """,cJ ,D.
Addre~s 'AA~ (1:1 \ \J\~ ~ W
Ci ty fJ. 'X}9f'Jl,~ Phone ~'1?Uocr
OVNER I~ALLATION ' ,
The installation is being made on
property I own which js no't intended
'for s~le. lease or rent,
Ovners Signature:
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RECEIPT II: ' ' A.-/' _ ~ )\lr ,
RECEIVED BY: U (J\L'_ '
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ELECTRICAL PERMIT'APPLICATION' ,
1-' Lj Job Number C\ ~rfJ~3
3. COMPLETE FEE 'SCHEDULE BELOV
New' Residential-Single or
Multi-Family per dwelling lmi t,
Service Included: .
Items Cost
A,
,1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home:or
Modular'Dvelling
Service or Feeder
Sum
$ 85,00,
$ 15.00
$ 40,00
$ 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
, ,
Branch Circuits
volts
$ 40.00
$ 55,00
$ 80.00
see "BIt
above
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ Installation, Alterations
Electrical Co~tr'actor ~.e:..A', ..-~".;: ~ or Relocation:
Address /'2 oz;. '/""...v' S:-...-:- ,200 amps. or less
, ' :' 201 amps to' 400 'amps
Ci ty .,e: c /...~ Phone '< <V' J rC6;--4'Ol amps, to. 600, amps
601 'amps 'to 1000 amps
Over 1000 amps/volts
,Reconnect Only
."
New, Alteration or Extension Per ,Panel
$ 35,00
One Circuit
Each Additional
Circuit or vith Service
.or Feeder Permit
, "
$
2,00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
: Limited Energy/Comm
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3%,Administrative Fee
TOTAL' , '
not inc~uded,)
,'$ 40;00
, $.40.00
$ 20.00
$ 36,00
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