HomeMy WebLinkAboutPermit Electrical 1997-4-4
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Tho fol1owin0 project as submitted hc.3 th ~ fo:towil
zoning, a~d does not roquire siJcciiic l...ll..i u.....J
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zcning et
974 l'pta '-I/H 11/1 d J 111/1
7 26;,3v,69.ed signatura.-L:1::1 f \
ELECTRICAL PERMIT APPLICATION
("..q.<-Job Number l\l~
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION ~INSTALLATION
1~~~~G
A. Nev Residential-Single or
Multi-Family per dve11ing unit.
Service Included:
JOB DESCRIPTION " ,
~>-"l-Y'\~ ~.J _ (J1\rJ\ \"),,-t-ncd-6t\1LQ
Permits ar non-transferable and explre
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
Sum
Items Cos t
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modu1ar'Dvelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
.~J f ~ , II Installation, Alterations
Electrical Contractor..l:j1 ~ QYlI_r (~~r Relocation:
Addresij/);)() ~.J.) ~J1'Jin.L [)V, 200 amps or less
. - 11 I I I '201 amps to 400 amps
Ci ty f;)1 tuJ(.J.T11Y{ one (p '1(P -()c::.;=::,3 401 amps to. 600 amps
. . . 601 amps to 1000 amps
Supervisor License Number ~(~ Over 1000 amps/volts
) 9 Reconnect Only
Expiration Oate 0 -/ - '7
'11 z.~<2
Expiration Date 4~~o-'11
Si~ superv~~
. ~ - ('\ D Branch Circui ts
OvnersName .~O ()-\- Dr~-
Address 'O\QW a-o.:lliuAD
Ci tll ^ )U..li ~one-...J
k~Rl{;;STALLATION
Constr Contr, Number
The installation is being made on
property I ovn vhich is not intended
for sale, le,~s~ o.r ren t,
':; ,
Olffiers Signa ture:,
, ,
~~~~:~-:~~-----I-------2t~~~~----
nl-~r.F.TVF.D BY: ~ ~S\~2--
S 85.00
S 15.00
S 40.00
S 50,00
S 60,00
'S100,OO
$130.00
.S300.00
S 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
S 40.00
S 55.00
$ 80,00
see "B"
above
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or' irrigation"
Sign/Outline Lighting
Limited' Energy/Res,
Limited EnergylComm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 35.00
$
2.00
not included)
y
$ 140,. o,q
$ .,.1.0,. 00
$ 20.00
$ 36.00
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