HomeMy WebLinkAboutPermit Electrical 1996-2-26
Tho following projocl os submitted has the Ionowl
zonin't.i, and does not require apectflc land uoe
opproval. .....D
Zoning-----<d ,~R-~
225 FIFTH STREET' .'A :2l~
SPRINGFIELD, OREGON 974.7f.IO~\ --D
INSPECTION REQUEST: 726...37.69iznd Signa urn. S. \
OFFICE:' 726-3759'
1. LOCATJO~ 9P INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION /9 J L f
S".,F.~ .
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 .B.
Electrical Contractor \J0\lv ~ fleSJi!.\c.
Address fD. ~D:t '1~g<;,
Ci ty fll'leiVl '11~()1 Phone 'l''3 ~ ~ S"30 1
.
Supervisor License Number ~glq)
Expiration Date 10-1-'1S'
Constr Contr. Number 'lq 5'"IQ
Expiration Date C - 20 - <II;
Signature of Supervising Electrician
\)__ -B-:
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
i..,
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ELECTRICAL PERKIT APPLICATION
"'~LY Job Number 9 .)/ 'J'4"5'
. . ,
3. COMPLETE PEE SCHEDULE BELOIl
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items' Cost
Sum
1000 sq.ft. or less i- $ 85.00 ~
Each additional 500
sq. ft or portion )0
thereof -:7 $ 15.00
Each Manuf'd Home. or
Modular. Dwelling
Service or Feeder $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
..''''' -
D.
Branch Circuits
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
S 50.00
$ 60.00
$100.00
5130.00
$300.00
$ 40.00;
C. Temporary Services or Feeders
Installation, Alteration or Relocation
',' .
~ $ 40.00
$ 55.00
$ 80.00
see "B"
~8f)
above
New, Alteration or Extension Per Panel
"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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