HomeMy WebLinkAboutPermit Electrical 1999-12-15
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The following projecl as submitted has the following
lonlng. and does nol requira specific land use
approval. r ~
Zoning
225 FIFTH STREET \'Z.-I':;-~'1'1 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON lWi\n q('v:.J
INSPECTION REQUEST: AJ~",aafillJnature 'Ci ty Job Number Q7' / /
OFFICE: 726-3759
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1. LOCATION OF IN~TAL~ON
4)/0 Mau..., - 'r'.u1J
',_ LEGAL DESCRIPTION "", .
: /707..,',<: i:; f z.. 1o_5:avi;;' -L
-.- ,\,.
(l JOB DESCRIPTION .
,) u i.J()0AJ....j) ~ C/ f'l A jo , .
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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.
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City~. _
Phone. ~8b,..{<> >J-'~ c:.._
Supervi.sor License Number ?'U f? S
Expiration Date /tJ -tit - '" I
Constr Contr. Number C)" RB9
Expiration Date I'-~J, 0-/1)0
Signature of Supervising Electrician
7(~ _--A~Af "
Owners Name ?,u./VY> . ~ ~ ~
Address 7/D ft~
Ci ty S 6' L to Phone 71i,,;(J(.,ZZ--
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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Ovners Signature:
---------------------------------------
DATE:
RECEIFT II:
RECEIVED BY:
12.--1-;--'7')
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3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
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
$ 50.00 50
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401' to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
,~Installation, Alterations
Electrical Contractorf,c, 'f,'U~, ~Cu~r Relocation:
Address rP- D--(!,oy tJ.-<,. ~ ",--7, 200 amps or less - I
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 40.00
$ 55:00
$ 80.00
see fiB" above
New, Alteration or Extension Per Panel
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One Circuit $ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permi t 1-1 $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
'"
o
not included)
$
$
$
$
~~~o
4 C)ro
,
(,74
/_:::l (>.(]
40.00
40.00
20.00
36.00
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