HomeMy WebLinkAboutPermit Electrical 1999-1-11
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The following project as submitted has the following
zoning, and does not require specific land use
approval. /.. (l...
Zonin" 0
225 FIFTH STREET Date - I -II . "I "i
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 7~!!!9'16!l Signaturp
OFFICE: 726-3759
1. LOCATION OF INSTALLATI"ON
ta9' 5'.3 e:;' tAc~ ~. ' A.
LEGAL DESCRIPTION
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JOB DESCRIPTION ____
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto-;B:/('S ~/LJ.
Address.,.1 r 70
City
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6~ 7-/$:rf
91'0 S
W(5T
Phone
Supervisor License Number
Expiration Date 10 .;.. 9 c; -
Constr Contr. Number .;2. /'1 S' I
Expiration Date tj-;}- f""" 9CJ
Si~:U ,"~.1ng?'~
Ovners Name '
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~Signature:
-
DATE:
RECEIPT I:
RECEIVED BY:
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ll,J.ECTRICAL PERMIT APPLICATION
;:;ity Job Number 9$0072-/'1
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3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dwelling'
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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
~ $ 35.00 ;1'S~
$ 2.00 L~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~
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 $ 36.00
5.
J~;:-
1'1{
1-7 ~,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL