HomeMy WebLinkAboutPermit Electrical 1997-5-21
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'. ."'og project as submitted has the following
~. '. 'l,"':! -:-:oes not requIre specific land u~o
I 'f"\ ELECTRICAL PERMIT
97477 Zoninp ,1/ t!
726J;)3i7;695'dl-4r
225 FIFTH STREET
SPRINGFIELD,. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Authorized Slgnatu,o_() 6Yl
1. LOCATION OF INSTALLATION
2t)~() rnr~ D,,-
LEGAL DESCRIPTION
170 2,24(JO(J()70~
JOB DES}:RIPTION 'L..
SM V1Q.. I 5" Ci"" C4A/l/J
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 contracto;~,' I r:s
C"/ .
Zj.( (.T
Address3/70 U)t."il ) /~
Phone (ft'7I.f!; I
qqOs,
Expi ra t fon Da te /!J _. / - 0l' .<)
Constr Contr. Number ;:). /3,) /
Ci ty ~/(~..,
S . /L'
uperVlsor lcense
Number
Expiration Date ,!/-:it$- 98 r
~;;I_ 0 super~' sing Elec:~ician
O~ners Name EO ~, L?ft
Address :?5~O Gmr'ld V;s+tA Dr..
City 5pfi'j.t{dd Phone 7l{(P-~3:3'i5'
OVNER INSTALLATION
The installation is being.made on
property I o~n ~hich is not intended
for sale, lease or ren t.
O~ners Signature:
---------------------------------------
DATE: 5-2(-'17
RECEIPT ~: ;p;> 'll'61
. RECEIVED B'y: ""
City Job Number
r~HPTETF. FEE SCHEDULE BELOV
A.
Ne~ Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
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
APPLICATION
C(?-0267-
uni t.
Cost
Sum
$ 85.00
$ 15.00
- : $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50.OC
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~~T less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Servicr
or Feeder Permi t ~
$ 35.00
$ 2.00 /().OD
not included;
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
6,O.(JO
3.00
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