HomeMy WebLinkAboutPermit Electrical 1996-6-5
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SPRIN<....F'IELD
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The following project 89 submitted has the folio
zoning, and does not require specific land use
epprovel.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonlna W \
Dote W'f?:C{fo
97477 Authorlzed Signature
726-3769
1. LOCATION OF ,INSTALLATION
~-i.41 .Jf/<rrn.v Ld4/
.LEGAL DESCRIPTION {
J'7n~ 22.. 2..0 0.0803
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ELECTRICAL PERMIT APPLICATION
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City Job Number
3. COMPLETE FEE SCHEDULE BELOY
9~022 '?
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY .B, Services or Feeders
~ I Installation, Alterations
Electrical Contractor /..;1t:k'cv /:;;6 Pre or Relocation:
Address ~OO N,/P-tfC Ol"cl f dJ 200 amps or less
;;:r. ~/". /} . 201 amps to 400 amps
Ci ty ~.Pf-I/Vi /If?joV Phone O~ € 7;'-<>?C??40l amps to. 600 amps
~ 601 amps to 1000 amps
Supervisor License Number ~~-S Over 1000 amps/volts
Iv / / / q ~ Reconnec t Only
Expiration Date / r / aT
Constr Contr, Number ~Od-<.CJO-C
~ ./ / , ~~L
Expiration Date ~~Z /' ~ i'/-+?>
. , /
Signature f Supervising Electrician
~~
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/Oyners Nam~ ~Crl-A') 8 r~~
Address
JOB DESCRIPTION
hl61 /' n:-L7 ,. ~~~.A
Permits are non-transferable and expire
if work is not started yithin 180 days
of issuance or if work is suspended for
180 days.
Ci ty Phone ?4C; - st;~
OYNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
--------------~~~-~------------------
DATE: ~( '3/, _,~
RECEIPT II:. ~~7
RECEIVED BY: ~
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dyelling
Service or Feeder
I terns Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50,00
$ 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 100u volts
D.
Branch Circui ts
....1.=: $ 40.00
$ 55.00
$ 80.00
see "B"
$:2r
above
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
/e:J~
, 2,.00
/.~
~3..u>
40.00
40.00
20.00
36.00