HomeMy WebLinkAboutPermit Electrical 1996-6-14
Thetollowing project as submitted has the tollo
zoning. and does not require specific land U90
approval. !'
Zoning C V
Date ( D'l.q . q lJ7
97477 ~
726_~r1zed Signature
.
225 FrITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLAypN
'711 H-4RLL:> W 7-1.25
LEGAL DESCRIPTION
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/. JOB DESCRI.fIION ;-., ,
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contl'actor RE~ t,;;"L......,.~
Address ~Ll Uu:QD!, I ~Vts:'.
CitY~&.:!UD- Phone!:l-u_>tSL..~P\I
Supervisor License Number "~-<;
Expiration Date-U'.I-a~
Cons"," Con t r. Number ~1(1I;.'2
Expi '~ion Date () ,-q II'"
~j . "'<'l~S
~rs Name ~u7H".Al-H2' ~"'?-;>.P. D.
Address-.!L// .#;4'/",<~/.V ~.D
, ,
Ci ty ~;<> ~. t:1?~ . Phone 7 Y.If- ,;;>.,:...:-0
- r 9707
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
~or sale, lease or rent.
Owners Signature:
-----~--------------------------------
DATE: - In - q( ()
RECEI :, 2-~~1 vI. " , I ,~/f
RECEIVED BY:L_L- Ij)(-~f';; ,;:",;,~
mY'
ELECTRICAL PERMIT qn3~T3lf
City Job Number~
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
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
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80:00
Over 600 amps or 1000 vol ts see "B" above
"
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit .,..-- $ 35.00 25:.
Each Additional
Circuit or with Service
or Feeder Permi t ~ $ 2.00 h::>
E.
Miscellaneous (Servicelfeeder
-Each installation
Pump or irriga'tion
Sign/Outline Lightin~
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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