HomeMy WebLinkAboutPermit Electrical 1997-3-7
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Th3 following project as submmea,r:m~ 1I1..i I':"'"
zoning, cmd does not require specIfic lend U_J
approval. (J
Zonina l.( ) ELECTRICAL PERMIT APPLICATION
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726-~'1'6~ . .,- '-1-1- "\.\,-,,\ Ci ty Job Number Vf '/., L-
AUlhorlzed Signature ~
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
JOB DESCRIPTION
uP(Jrndp se~.fy
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost
Sum
$ 85,00
$ 15.00
$ 40,00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor.Sonitrol Security or Relocation:
Address P.O. Box 21009
Ci ty Eu ueoe
Phone 461 - 5678
Supervisor License Number /Iog<} RET
Expiration Date /{)-!- qq
Constr Contr, Number 65149
Expiration Date .7-2000
Signature of Supervising Electrician
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o~s Name GrtJa.r'L {1rf
Addresst?~ ~/f:l:;; ~(LI/ay
.City ~4) Phone 747-';'9/4-
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
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RECEIPT jI: ?<I'79:&f.
RECEIVED BY: tA(.'
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
$ 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-vorts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" a~
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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 Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Eneigy/Comm I $ 36.00 ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~t. at>
~ /80
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