HomeMy WebLinkAboutPermit Electrical 1997-1-7
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The following project .
zoning, and d03 as su.bmitted has tho followf
225 FIFTH STREET O,.lproval. . s not require specific land use ll!LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~. , ((])j I' . J I ( /J
INSPECTION REQUEST: 726-176"9'1<1 '- Of) City Job Number'1ILO If, ~
OFFICE: 726-3759 Dnle-1::1"-U_
1. LOCATION OF INSTA1:tiiTION,ignsturo 1J M 3.
408(,-, 1In//V
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
COMPLETE FEE SCHEDULE BELOY
A.
N~v Lem;dential-Single or
Multi-Family per dwelling
Service Included:
uni t.
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son; trol Secur i ty or Relocation:
\
Address P.O. Box 21009
Ci ty ~u uene
Phone 461-5678
Supervisor License Number Itv'69 RET
Expiration Date if)- (- qq
Constr Contr. Number 65149
Expiration Date '_" .;' 7/':}.fY)()
Signature of :u~vising Electrician
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Ovners Name fJ(ln l3/osb...-Fnn--i
Address ....<QYYlr'
Ci ty Phone ~C:, - 7~
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
Eor sale, lease or ren t.
Ovners Signature:
~~i~~~l-~~~C1~--------------------
RECEIPT #: T"'\)L-i' 7fl) I
RECEIVED BY: '1' . f'fIQLl1 <'1.r).()
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
S 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see 'IBII above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
.$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each ins talla t i on
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res J $ 20.00 ::M-=
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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