HomeMy WebLinkAboutPermit Electrical 1996-7-23
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SPRINGFIELD
The following project as aubmitted haS the followin
zoning. end does not require specific land use
approval.
Zoni~ L...h12- ' ,
225 FIITH STREET. Oats 1'1_'J.;'Q& ELECTRICAL PERMIT APPL~ATION
SPRINGFIELD, OREGON 97477ulbortzedSlgnatu"" W (\\\ I Q 10
INSPECTION REQUEST: 72~j/b9 ~1ty Job Number \A 0\ ,Ii
. OFFICE: 726-3759 i
I. 1. \ ~~~N '(t=> f~S~~~~Y1
\~M~~~ t)V\\D'
~ ~:m~~!'::::::a~and expire
if work is not started within 180'days
of issuance or if work is suspended for
180 days. '
. CONTRACTOR INSTALLATIO~' ONLY / .
Elec rical Contractor ~
/
/
Ci ty /Phone .
/ .
Supervisor e Number
Expi ra t ion D~'
Constr Co .tf. Number
Date
Si
Ci ty , Phone ~. \?Rq
OIINER I\.1TALLATION ~
The inst~llation is being made iJ
property I own 'which is not intended
for sale~ lease or rent.
, ~ ?jlatur
DA~E~~-----------'~-'/T:~~~----
RECEIPT I: hi. . J:1"A':J1 vl--
RECEIVED BY: V \U 1:..1 . 1\
.
C. Temporary Services or Feeders
Installation, Alteration or Relocati~n
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 1tB" above
D.
Branch Circui ts
".
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
-Each installation' . \
P~mp or irrigation ;
Sign/Outlin~ Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF'ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.~CD
.~/ )
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