HomeMy WebLinkAboutPermit Electrical 1996-12-3
The following project as submitted has the following
loning, and does not require specific land use '
approyel.
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ['97'477
INSPECTION REQUEST: ,,""Z.z6.,..}Jfji~aturo ~ity Job Number '9 (L7 / S 32
OFFICE: 726-3759
1.' LOCATION'OF INSTALLATION'
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
.if vork is not started vithin 180 days
of issuance or H vork is. suspend,ed for
180 days.
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/ 2. CONTRACTOR INSTALLATION ONLY
E1~t~ca1. Contrt'cto~I1'IIlQ.\,I'\; ~lfis::
. \o(Q...-rp..'5~-n..,.., i}.-/tVIi;C- .f> n .
Address~_e:lb3 a 11/?<.d/,n~JCJ.'/... .
Ci t,Jul1Ct\~e.~ i'l'r 9~~~ eN S 677'L
Supervisor License Number. 3'1 /65
Expiration Date /0-1-9-g
'Constr Contr. Number f!?<ftp,If??,'
Nev Residential-Single or
Mul ti-Family per dvelling uni t.
Service +ncluded: .
Items Cost
3. COMPLETE FEE SCHEDULE BELOII .
.. A,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
.Reconnec;t Only
, .
Sum
$ 85.00
S 15.00
- .
:$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. . Temporary Services .or Feeders
Installation, ~lteration or Rel6cation
.Expiration Date
3~L'1- qy
,.
~oa= E4riCian, .
V ." /,.
Ovners Name__~~~ ~~~~
. Address hl);f,5'3; .. L S1r'b9 rtly) ..
Ci ty ~;; tk Phone 710-/%/
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O\INER INSTALLATION
.The installation is ~eing made on
property I ovn vhich, is not intended
for sale, lease or rent.
,
ature:
-----,--;l----~--~----.-----------------~
DATE:/. /2-'},-'''''' .
RECEIPT #: '2. ~, ~ 2- .
RECEIVED BY: ,(/?).A-,
200 amps' 'or less
201. amps. to 400 amps.
Over 401'to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
$40.00
$ 55,00
$ 80.00
volts see "Bt',above
.'
.Ney, Alteration or Extension Per Panel
/"
"356-0'
One Circuit V $ 35.00
Each Additional ,
. Circui t or vith Service.l/i?
. or Feeder Permit ~ .~ $ 2.00
~.
Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lightin~. $ 40.00
Limi ted Energy/Res . $ .20.00
Limited Energy/Comm $ 36.00
E.
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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