HomeMy WebLinkAboutPermit Electrical 1999-1-11
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The, following project as submitted has the folio
~~~~~~'a~."d does not require specific land use
Zoning 1 nR-
225 FIFTH STREET Date /-11- c:; 'l ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Authorized Signature ;<..J cJ/8/.....? /_ .J
INSPECTION REQUEST: 726-3769 c;'~7,Job Number /::!!:>:-'CQ ..,...
OFFICE: 726-3759
1. LOCATION OF l,;NSTALLATION
_h~? C~~
LEGAL DESCRIFTION
/~~ 2- ~ 2. 2- "2.
.
JOB DESCRIFTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto~:I('S c;:ILJ.
Address.,1r70 t.ch..T /I~
City
Phone
Supervisor License Number 9 tftJ S
Expiration Date /0 .:. 99 -
Constr Contr. Number .;2. /'1 S' I
Expiration Date (/- ~ f ...... 99
S'fj:;[)f
Oyners Name
SUP]Fvising Electrician
/c.~ /~
,(/
Address
City Phone
OVNER INSTALLATION'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
"
DATE:
RECEIPI iI:
RECEIVED BY:
~/// (5' ? -
,~~
~ Y-- - L
. A.
3. COMPLETE FEE SCHEDULE BELOV
Ney Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less t-- $ 85.00 ~S~
Each additional 500
sq. ft or portion J
thereof 't' $ 15.00 ~e. /K)
Each Manuf'd Home,or
Modular, 'Dvelling'
Service or Feeder $ 40.00
,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
$ 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 -10. KJ
$ 55.00
$ 80.00 '
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Serviceifeeder not included)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE ,~
5% State Surcharge (i~~
3% Administrative Fee ~ ~
TOTAL I iff 'fD
I .
E.
5.