HomeMy WebLinkAboutPermit Electrical 1996-3-4
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The. J.ollowing project as submlllad has tha f
zoning, and doeo not require spectfic land u
approval.
Zoning
225 FIFTH STREET Dote ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Authorizad SI tu
INSPECTION REQUEST: 726-3769 gna '" ~'>!' T-,b Number ~.29z..
OFFICE: 726-3759
1, LOCATION OF INSTAL~TION
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LEGAL DESCRIPTION
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_ JOB DESCRIPTION
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Permlts ar~nbn-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractorc.~ 381lot1TrUl' \\.1~.
Address p,O. ~ 14.z-?-> '
,
Cit~J Phone1J./.1-~131t>
Supervisor License Number I b Q b ,<:)
Expiration Date 10 -I - q2
Constr Contr, Number 0:3 g4~
Expiration Date g -1-'\ b
eJr:;;p:;~an D
Owners Name TC. l rn.~\.~iNY\ l~~
Address iZqllhlH4 ~ru \..Ii'..> 'D
Ci ty Pu...fiH(\U Phone 4-84- 300 10
l.) ~.35o,...
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 3'-7'~"%"
RECEIPT #: -:2f:JI'~"
017f"'PTU't:'n nv. e-;?~
3, COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Hulti-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
Hodular'Dwelling
Service or Feeder $ 40.00
B, Services or Feeders
Installa tion, Alterations
or Relocation:
200 amps or less $ 50,00 :10,00
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 $ 40,00
C.
Temporary Services or Feeders
Installa1ion, Alteration or Relocation
200 amps' 'or 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
Branch Circuits
,"
Nev, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit or vith Service
or Feeder Permit
$ 35,00
$ 2.00
E, Miscellaneous (Service/feeder not'included)
-Each installation
Pump or irrigation $ 40.0q
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
50.00
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I. So
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