HomeMy WebLinkAboutPermit Electrical 1997-3-27
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 01 I 7er
INSPECTION REQUEST: 726-3769 Ci ty Job Number c( I () 0
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
35SS G:>/-P,.J.J':I!
i ~63?~rrfrW3
JOB DESCRIPTION
in,<;+a/I <)f'r"UY'-fy
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
3. COMPLETE FEE SCIIEDIILE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included: '
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items Cos t
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 ~I-' uene
Phone 461-5678
Supervisor License Number /(;,j1 f'e T
Expiration Date II) - / - qq
Constr Contr. Number 65149
Expiration Date ,7-2000
Si~e o~~~vising
?;:;(~
Electrician
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
Ovners Name
Prt'i11if'Y AuJn (;10<<
/:S J- 0esf ([If<.f/VL
Addres~n1.f'
Ci ty t: UgR,f\ e... Phone 342 -37dd
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~A~E~-----:s1;2~1Lf 1'----------------
- '
RECEIPT #: j " ().]':--..OlfJ n
RECEIVED BY: ^', vf) I^--
, I
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see IIBn
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 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 Energy/Comm --1-- $ 36.00 ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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- " So
I 01$
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