HomeMy WebLinkAboutPermit Electrical 1999-8-3
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The following proJect as submiUed has the following
zoning. and does not require specific land use
approval.
Zonlnf
225 FrITH 'STREET
SPRINGFIELD, OREGON 974Ff9te
INSPECTION REQUEST: 72ti..d!0't(z9d Signature
OFFICE: 726-3759
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ELECTRICAL PERMIT APPLICATION
r.i.tyJob Number 9'1tJf7h
1. '7 JACATION OJ'. INSTALLATI,QN-,
:>'1?fe. ,/A~/IL Itd
~GAL DESCRIPTION
15r&'),()(,/Y ()IJJo D
JOB DESgRIPTION
SP ru., t~
.
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
Electrical Contractor
Address
/
City Phone~
/'
Supervisor License Number
Expiration Dat~
Constr C~~Number
Expi ra-t1on Da te
.~~ture of Supervising Electrician
Owners Name J~"" ~".e. tt.c.
Address 5'~() 11"...~ /l..tL /L/
City ~ Pho~e ~ 38";r pfJi
, p
OYNER INSTALLATION
The installation is being made. on
property I own which is not intended
for sale, lease or rent.
:~::J:~~________
DATE: 2~"?,"3~ ..
RECEIl"i.'lI: ?,,<>lj:' s. .
RECEIVED BY: r /' ,/~
,/ ,;:.- -,
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Service or Feeder .$ 40.00
.B, Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less . $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 l(CI
$ 55.00
$ 80.00
see "B" above
D.
Branch Circui ts
.-
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 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 $ 36.00 -
5. SUBTOTAL OF ABOVE 7'11 IV
'l'loSta te Surcharge Z<Yu
3% Administrative Fee I- i/..V
TOTAL If"- fNi