HomeMy WebLinkAboutPermit Electrical 1998-1-6
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The following project as submittod ho' to', fo!iowina
zoning. and does not require op:.cJilc I_..J a.:":'J
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonina
97 fr},7,
726-3769
Authorized Signature
7'7 bOC~~~ 9~N~TAL~PJ.N
LEGAL DESCRIPTION
I ?-T:'"" -2:2 ~. t!?::t '2.//
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Permits are non-transfer~ expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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I
Electrical Contractor ~C!... R~.
Address 2- tfzo C:tr~~ C/!fP<]
Ci ty..:5P,~I1, ClZ.Phone %t/-, Z!.J.$
I
Supervisor License Number.3 <1-5;)-.5
Expiration Date /ll-?,B;.
Constr Contro Number ,,?Qdo8
Expira tion Da te /2 - '15
Sign~ure o~Sup~rvising Electrician
~"~
L -
Oyners Name .::s~"tJ &-r. &,P-'!2 .
Address
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
"
DATE: /-~-'?t!!.
RECEIPT tI: Zjjt ~9cG
RECEIVED BY:_ ~...-., _ .....
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 91~/3
3. COMPLETE FEE SCHEDULE BELOII
A. Ney Residential-Single or
Multi-Family per dyelling uni t.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dyelling
Service or Feeder $ 40.00
,B. Serv,i,ces or Feeders
Installation, Alterations
or Relocation:
Sum
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
S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see ItB" above
D. Branch Circui ts
.
Ney, Alteration or
Extension Per Panel ~
I $ 35.00 35'--
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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