HomeMy WebLinkAboutPermit Electrical 1999-12-20
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fi ~Wing prOject as submitted has the following
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225 FIFTH STREET ""-' '::"'o,=~30ning. (l.>!-.--" "......'l'RICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 77D.B! - IL- ")..0 -c, "I 9 "'; J ~..O
INSPECTION REQUEST: . 726-jf~~ ~~ City Job Number I ~,~
OFFICE: 726-3759 Authorlzad Signatura.
1. LO((ATIQl'j OF INSTAL{.,ATION
10'10 JJ.M::.~t:V. ~
LEGAL DESCRIPTION
/7f7A22e-o ~230~
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JOB DESCRIPTION ~
J ~&2( /4J PI, .
----. - .
Permits are ~on-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 Contractor"'f2,u,cJ.~t-<.. '(:;.~'1/1:iC.~
(95' />'M.Ar5/W ~ .
Phone ..; ~f>' -d <fil ')..
:::?.97&S
Addr~5s
Ci ty bJ(-l{!l.J-(,-
Supervisor License Number
Expiration Date
CQnstr Contr. Number
..2r,9. /:). C-
Expiration Date
Sign~~f ~e:~~lectrician
. ~ - D.
Owners Name pLtdJulZ 4I",=-V !J.c/) ~ '
Address P.(),~ UD
'Ci ty ~"A'~7/~1-Phone :s J [5- ~nf
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t.
Owners Signature:
".
--------------------.-~---------------
DATE: /) /2-tl/ 15'
RECEr'PT 11:_ 7 ;((.,;~
RECEIVED BY: ~
-' l
3.. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
.1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
$ 85.00
$ 15.00
. $ 40. 00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~ $ 50.00 /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
Installation, 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
,.
New, Alteration or Extension Per Panel
One Circuit ~ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permit C~ $ 2,00ItJt,-
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. SUBTOTAL OF ABOVE ~~ "0
('i5% State Surcharge j4-."'''-
3% Administrative Fee ~ ,/15
TOTAL ....., .., / (dO
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