HomeMy WebLinkAboutPermit Electrical 1997-4-21
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Zoning C (- ELECTRICAL PERMIT APPLICATION
97477 Drrte'f(1. 1/(/11(- %rJ1
726-3769' Ci ty Job Number ~ r;)6} (
Authorized Signature , ~
3. COMPLETE FEE SCHEDIILE BELOIICl i01Q
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REOUE'ST:
OFFICE: 726-3759
1. LOCATIO.,N Of INSTALLATION
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LEGAL DESCRIPTION
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~ JOB PESC&IPTION ,
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ;:-rVA In(',
Address /d./O ()tt 'lt1.-kA_teo!,
Ci ty E~ /7 f Phone t.jg5- 5s</t-..
Supervisor License Number ::t 41T-
Expiration Date
Constr Contr. Number / / /;Jr;}b
Expiration Date o-,;)-c)P
Signature of Supervising Electrician
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O~ners NameJ(}f'6-ftJJ:a 1-/(/
Address3"t"l"1 rno.J.eJ,uOJj
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Ci tYCfrl ~Idd. phone:3W -.3 7d?-
O\INER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~----------:\---~~)\~---~
RECEIVED BY: G-\~.?)~
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
,thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 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 or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $
Sign/Outline Lighting~ $
Limited Energy/Res $
Limited Energy/Comm $
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,3.011
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Y1.2D
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
40.00
40.00
20.00
36.00
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