HomeMy WebLinkAboutPermit Electrical 1996-10-28
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Zonino
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Dote
.9747.J:horlzed Signature
. 726-3769
.lli ~C~T~ON OF INSTA~LAT
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~GAL DESCfIPBON
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JOB DESCRIPTION
N J cr?!L17 A.
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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,
2: CONTRACTOR INSTALLATION ONLY
Eiectrica1 Contracto~--11A-J+/}/r.. r/h to
Address 7)), rfa W;vC . ~ + .
Ci ty E v", p;' ( Phone c.9 {, -~9 'I r
) ,
Superviso~ License Number c; ~ I,) L~
'Expiration Date IO-I-o/~'
,Cons tr Con tr. , Number q ~ g crJ
I -----.'
Expiration Date ')-0/0/1
Signature of Supervising Electrician
, /J:1/(~~, ;~4 ,,----
Ovners Name~V1I(.f'11' va OCrJ. .(T."jJ
, Address~d,J JV}r.h.., )' -J- ' '
Ci ty ,5(jlI-"^rf,/.Jphone 7lff/-7/fJ5"
OVNER INSTALLATION
, ,
The installation is being made on
property I ovn vhich is not intended
for sale " lease or ren t.
ovner:fi$'1ature: A.(4 ,
'5{111-\__ ~
~~~E~~----)'7j)-J1~-~--t?/~---- -----
RECEIPT 1I:' z.;3/~Jt./ ,/, ,-
RECEiVED BY: /~~~_
E~=CAL '~mCI~'~
Ci ty Job Number r1u I U & 7
3. COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft, or ,less
Each additional 500
sq, it or,portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service' or F,eeder
j. Services or Feeders
Installation, Alterations
or' Reloca t i'on:
200 amps or less
201 amps to 400'amps
401 amps to 600 amps
601 amps to 1000 .mps
Over 1000 amps/volts
Reconnect Only .
uni t.
Cost
Sum
$ 85.00
$ 15,00
I
$ 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' 'or less $ 40,00
201 amps to 400 ?mps S 55.00
Over 401 to 600 amps $ 80.00
Over 600' amps or 1000 vol ts see "B.'" above
D:' Branch Circuits
Ne~, Alteration or Extension Per Panel
One'Circuit
Each Additional
,Circuit or vith Service
.or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
,Pump or irrigation
Sign/Outline Lighting
'Limi ted Energy/Res
Limited Energy/Comm ~
"
'.
5.
SUBTOTAL OF ABOVE
5'% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
S 40.0,0 .
$ 40.00
S 20.00
$ 36.001..5'"
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