HomeMy WebLinkAboutPermit Electrical 1996-10-18
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S.tlGFIELO
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The, following project as .ubmitted h3~ the following
. zomng, and does 'not require specific land use .
approval.
zonina'L-{){Z- , ,
97~dtl /fJ-I'( '1(/
726-3/6'1 N'.' ,
Authorlzoo Signature ,1"'.
, ,
225 FIFTH STREET,
SPRINGFIELD, OREGON
INSPECTION 'REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIO~ A t
l- , ~.,L . IL-<::!.. A.
LEGAL DESCRIPTION. no :24L.{ loo3tJD
, l+>!\.y~ ~':I\1r f't,ci,
JOB DESCRJ}jTION
~/VVI(j (L1L1au~
perm:ts are non-tranqfe;able 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 contractorC~f~ ((~J;~>Z.
Address ~,O \ 1'S(I"'-2~ l/ ' .
Ci ty t;VA-\.je"-v:tk Phone IY '-{-070)
supervJor License Number 3<;;~''':' 5
loh'7I'i f7 .
I
ConstI:' Contr. Number '20-2.."iq~
\
Expiration Date In f1../ /9 '6
/ I
Signature of Supervising Electrician
. <y(tJ '. r',., Io/,{
./ cK j - I,JJ1.Q(
~ \
Owners Name G-LOil{'A l:O,,\J,/,N
" J
Address 2A~'l ~Jf~ '0,V"~Jr yW,
, Ci ty 5,,?lJ. , Phone 7'-f1-),ZlfC!
, mJER INSTALLATION i
,
Expiration Date
The ,ins t.aHa tion is being made on
property I own which is not intended
for sale, lea~e ~r rent.
Ovners Signature:
D~~E~---~/25~-7~-:~~-------~----------
RECEIPT 11: :L,"J52-1 .'
RECEIVED BY-: W _
ELECTRICAL PERMIT APPLICATION
City Job Number. 101 Lf 2 . /.
3.
COMPLETE FEE SCHEDULE .BELOV
uni t.
Cost Sum
$ 85.00
'$ 15.00
. "
$ 40.00
$ 50.00 5Dcn-
$ 60.00,
'$100.00
$130.00
$300.00 '
$40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation I
5.
SUBTOTAL OF ABOVE
5%, State Surcharg!"
37, Administrative Fee
TOTAL
New Residential-Single, or
Multi-Family per dwelling
Service Included:'
It ems
1000 sq.ft. or less
Each additional 500
sq. ft' or portion
, thereof
Each Manuf'd' Home, or
Modular 'Dwelling
Service or .Feeder
Services or Feeders
~ns~allation, 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
200 amps' 'OT less ,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per" Panel
One. Circu'i t
Ea'ch Add it i onal
Circuit or'with Service
" or Feeder Permi t,' , .
$ 35.00
$
2.00
E. 'Mis'ceHaneous (Service/feeder -not included)
-Each'installation
Pump.or irrigation
Sign/Outiine'Lighting
Limited Energy/~es
Limited Energy/Comm
.'
$40.00
$ 40.00
$ 20.00
$ 36.00
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