HomeMy WebLinkAboutPermit Electrical 1997-5-23
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zoning, and does not requIre specific land U!.o
approval.
Zonlna
225 FIFTH STREET
SPRINGFIELD, OREGON 97419~e
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Authorlzed Signature
1. LOCATION OF ~ALLATION
;?? ~~~~ ~. A.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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 ~~~ ~~~
Address .Ie:ff9 7~/)~ Lr?.ud
City E;."JPlllP PhoneU.k-tJ~
Supervisor License Number ~~~~~
Expiration Date /6// /q,f?
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
&:9?pR~
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cost Sum
1000 sQ.ft. ortess $ 85,00
Each additional 500
SQ. ft or portion
thereof $ 15,00
Each Manuf'd Home or
Modular ~::~;;" ~~.
Service or Feeder / $ 40,00 ~
Services or Feeders
Installation, Alterations
or Relocation:
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 50,00
$ 60.00
$100,00
$130,00
$300.00
$ 40,00
/ ,
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~~;rtJ I~~ 200 amps or less
, ~ 201 amps to 400 amps
SignatIUJ~~rician g~:~ ~g6 ~~p:O~ra~ggo volts
, /_l.. . - D Branch Circui ts
Owners NameL--?'~~ HYt'f/' ~-~.
u. ../' -, . New, Alteration or Extension P,er Panel
Address /s/~~ ~ ;,-..::?~~ ~ Ab;o 0 C' , t
ne lrCUl
CityEv~.N'"~,~hone 6~-~~e> Each Additional
. , "'~e>/ ' Circuit or with Service
OVNER INSTALLATION or Feeder Permit
Constr Contr, Number~~~_~/
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
jjATE~---- 5'-<? -"7 -::> ~-------------
RECEIPTlI:....' 2~/ I
RECEIVED BY: -1~~' >-.
, " , '\
$ 40,00
$ 55.00
$ 80.00
see "B"
above
$ 35.00
$ 2,00
not 'included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$
$
$
$
Va. -=--
, '7~
/. '1....
q~_""::>~
. ~ ~
40.00
40.00
20.00
36.00