HomeMy WebLinkAboutPermit Electrical 1996-7-2
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The following project as oubmittad has the f
zoning. and does not require specific land u
approval. <;"\ A ^ ^
Zoning WVV '-
Dale 1 '1.' q II
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Authorlzad Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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are non-transferable and expire
"ork is not started "ithin l80",days
of issuance or if "ork is suspended 'for
180 days. '
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor_k <;" .t-L&''r'/Z/{'_
Add ress P. D .611)C .:L'1 '1 ~'1
. City </!v-J"-- Phone hRf:,-br'2,l,....
Supervisor License Number '1 'I'L, S
Expiration Date /(J-!-q"X,
Constr Conn. Number C:~B '7/JB2.O,
Expiration Date I ~ -;;)7 ..ql#
Signature of SuperJfsi~ ;lectrician
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"Owners NameL'1N~-rr€ fA~JJr
Address I:Jt.A lGutrL. ~~
Ci ty1)fo..,A-t'~/?~7J Phone21/~. 'i'15'8
OVNER INSTALLATION
The installation is being made on
property I o"n 'which is not intended
for sale, lease or rent.
Owners Signature:
DA~E~----------T\-l~tJl~-------=;--~ 5.
RECEIPT #: ~ ~rx:;
RECEIVED BY: ~' ~..
1'v1
ELECTRICAL PERMIT APPLICATION
3.
t;l ty .loll Number C3i,t> '71:> ~ ~
COMPLETE FEE SCHEDULE BELOII. *:
New Residential-Single or
Multi-Family per dwelling unIt.
Service Included:
A.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
Reconnect Only
$ 50.00 00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see ItB" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 ~
Each Additional
Circuit or "ith servicp) 10
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
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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