HomeMy WebLinkAboutPermit Electrical 1999-12-23
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'-'P.lFIELD
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The fOllowing project ' I
zoning; and does no~~eSqU~mjtted has the fO/Jow~g
approv~" ulre specific land Use
225 FIFTH STREET Zoni~o L-b fL- ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 9749"1e /2.-;2..3- "l, ~, 'Q, ,/c4,~
INSPECTION REOUEST: 7~i~.llJ Signature _ <=1(, '.' ", ty Job Number '-7 J ~
OFFICE: 726-3759 ~ I
3.
1. LOCATION OF INSTALLATION
~\6\6 ~\nT>..k,\r Ave..
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LEGAL DESCRIPT!.9~ J
/~10? D~ ~ e>3~
JOB DESCRIPTION
2. ,?ZOO /'!WIt' .c:;gR.VIC.~ S'
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
'"
/
Phone /
License Num~
Date /
City_
Supervisor
Expiration
Constr Contr,
Supervising Electrician
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COMY~ri FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less ,$ 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 ~
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 ampsJvolts
Reconnect Only
$ 5'0.00 Ir::;O
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
\
200 amps' 'OT less $ 40: 00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Owners Name! eY'eSo.. sJOO'()l?l/€IY D.
,Address_JDIO ~ve-
Ci ty, :) f f 1 J. Phone ?4t -fJx:r
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovne~s Signature:0
--rMOl./A... r..}j ~ J1.07~ _
DATE~--------/;2:;I'~3~1------------,
REC~!~_ u :... "';.(A;';. ~ ,'<:1'- .,2:2. , ..
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servic~
or Feeder Permit ~
$ 35.00
$ 2.00JllQO
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
l'\ ~ State Surcharge
3% Administrative Fee
TOTAL
! 0Q,OO
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