HomeMy WebLinkAboutPermit Electrical 1996-7-29
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z;:ming, and does not.require specifiC-land use
tll;.provel. .'
, , Zoning Cf / EI.ECTIttCAL PERHIT APPLIcATION
971,7i:kle~
726A-J,"?'~~edSignat"f~l. ~ city Job Number CfIL7/(J'J&
225 FIFTII STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 71.6-3759
1. LOCATION OF INSTALLATION
3148 Gatewav
i 7 nG3"B'o~ 3';> O/)
. ~OB DE.SCRIrTlON I ~ d~
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Permits are non-transferable and exJ1re
if' work is not st~rted within 1RO days
of Issuance or if work is suspended for
180 d~ys.
3. COHPLETE FEE SCnEDULE BELOV
New Resid~nti.l-Single or
Hul t i-Fami ly per dwelling "UIli t.
Service Included:
A.
It ems Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd 1I0me or
Hodular Dwelling
Service or Feeder $ 40.00
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
2. CONTRACTOR INSTALlATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorOlsson Industrial Electricor Relocation:
Address 3148 Gateway
City Springfield
Phone
Address P.o. Box 70413
City Euqene
Phone (541)747-8460
Supervisor License Number 3334-S
Expiration Date lO-l-ClA
Constr Contr, Number 63473
Expiration Date 1-26-97
Sigrmture r Supervising Electrician
~~ A--.. -?L
/
Owners Name u.S. Postal Service
OVNER INSTAl.I.ATION
The Installation is being made on
propel."ty I own wh I ch is no tin tended
for sale, lease or rent.
Ovners Signature:
."
----------------~-t~------------------
DATE: ,-;;;). 5--:/ I..R /
RECF.II'T.:0{Of{JU~/\' ,
RECEIVED BY: ~"Y.' d'X'
, - U
2 $ 50.00 100.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Instal1atlon, Alteration or Re10catioh
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Clrcui ts
$ 40.00
$ 55.00
$ 80.00
see "8" above
D.
"
New, Alteration or Extension Per Pahel
One Circuit
Each Addi tlona1
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline I.ightlng $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
57: State Surcharge
37: Administrative Fee
TOTAL
100.00
:J.IN
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