HomeMy WebLinkAboutPermit Electrical 1997-5-12
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SP.FIELD """..,,,".'
The. fallowing project as oubmitted 110' tho following
zonmg, and dOGS not require spGCiflc kmd Ll':.::>
approval" /l /l ,
225 FIFTH STREET ZOOlOC '- ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477c::,,'_/, rr',7
INSPECTION REQUEST: 726-3'.(6~ 0'1 '-,-1 City Job Number -9'7d' ~!1?~
OFFICE: 726-3759 Authorizc-d SignalurD n ~ COlIPLETE FEE SCHEDULE
1. LOCATION OF INSTALLATION ~
/~~ ~~~~ ~/K . A. Nev Residential-Single or
",hi-F""", po< d""::~:"iL. .
LEGAL DESCRIPTION Servi'ce Included:
/ 7-e:J>7'3<6'- '"3;? c:7 V60~ Hems Cost 'Sum
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JOB DESCRIPT:u1.N:;; ,
JA/0/~- .r-2:;::>~~;.~~~/?:;>
Permits are non-transferable and exphe
if vork 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 Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~~~ ,~~~~
Address /Bc::::> #LL'#'E~?.R #/
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City~C~Phone ~/-9/:::>/
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OIINER INSTALLATiON ,'?i> -,6 Y
The ins talla t ion is being' made on
property I ovn vhich is not intended
for sale. lease or rent.
Si ature:/f"l
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D~~E~--~-~-~_~-~-------------
RECEIPT 1I:-:2.:s-/~':3
RECEIVED BY: .......--;;? -.-e-- _ - _ _
//'
,1000 sq.ft. or less
Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 amps/volts
Reconnect Only
$ 50.00
$ 60,00
$100.00
S130.00
$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
$ 40.00
$ 55.00
$ 80.00.
volts see 118'1 above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
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One Circuit V-- $ 35.00 ~5'"
Each Additional
Circui t or vith Set-vice
or Feeder Permit '2 $ 2.00 01
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 ~~, ~
57. State Surcharge /. ~6>-
37. Administrative Fee /. /-,
TOTAL Y 2_ /:;"