HomeMy WebLinkAboutPermit Electrical 1998-3-19
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The t~llowlng project as submitted has tho followln
zoning. and does not require specific land u3u
approVal, ELECTRICAL PERMIT APPLICATION
City Job Number qo033(p
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECfION REQUEST:
OFFICE: 726-3759
97/,77 Zoning
726-3769
Dele
1.
Authorized Signature
LOCATION OF INSTALLATION
15q.O 1<ell~e)
LEGAL DESCRIPT);ON 17 03 ~ '1 J.d- Oo;>jtY)
,~€YV"ic...~ (O.~@.
JOB DESCRIPTION ~
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. CONTRACrOR INSTALLATION ONLY B.
Electrical contractor~a:;~ ~r-!1ara:biOJ\..
Address 8'qCt7ro J)(U...t Lo..n~
o
Ci ty CUq€..V)e Phone ~ -0'105
SUpeL"V isor Li cense Number Ism B .5
'Expiration Date 10/ f /9f4
ConstL" Contl'. Number Btf.tf.,31
Expiration Date 1'/:JQ,/9fj
Sign~s:pervis~~Electrician
IL~/~~~~
~ - -----
Owners Name5"h.f.lfu nro....G-rn
10-cl 0 ~ VJ-.
Address l S LI 0
Ci ty ~e.-
Phone
OYNER INSTALLATION
The installation is being made on
property I ow~ which is not intended
for.sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: -5 - \ q - q 'i(
RECEIPT n: (1l.'1 I L.( J....
RECEIVED BY: 5 ~ " ?Y\lil.fr.-r;.{.lc
3.
COMPLETE FEE SCllEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
I tems Cas t
Sum
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
Services or Feeders
Installation, Alterations
or Reloca t ion:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50. 00 ,.5()~-
$ 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 voJ.ts
$ 40.00
$ 55.00
$ 80.00
see ItB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Add it i onal
Circuit or with Service
or Feeder Permit q $ 2.00 ~~.P-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
!5f4. 00
t~~
Il-.f.'.UI-
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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