HomeMy WebLinkAboutPermit Electrical 1996-7-24 (2)
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I' QWlngpr ectasu b .
zoning, and does not r"" ~ mitlod has the followin
approvel. _,u re apecific land .use
Zoning Ur J
Dme '1 . '14 -P(, CI
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97 t77~oHZOO SlgnSlure
726-3769
LOCATION OF INSTALLATION
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. IfJ~~)PTION 1!l0rxJ
1.
?Iv\
ELECTRICAL PERMIT
APQY!E:~ 7--
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
JOB DESCRIPTION
I.~'(\j \ cr~"{\' urC\.iti.
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended foq
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor r_t~p\o~t;U(\ 1~'
Address P.O. ~1-.
. Cit~ft\3'~~~~~ Phone~IJ.1.?JfcL
Supervisor License Number I b &b S
Expira tion Da te 10 - , - <\t;l
Constr Contr. Number 09,~L\-<\
Expiration Date C\ --I - q b
Signature of Supervising Electrician
d~ 4-~/___
- - '/ D
.
Ovners Name j::~,I1\Di\ I
Address :io_~ . ~. .
City ~.1jJfi,illli\.~rL.Phone ,., l.b -1510
~~ INA~LATION
The installation is being made on E.
property I ovn vhich is not inten~ed ,
for sale, lease or rent.
Owners Signature:
--------------------11---7jr,-----------
DATE: r;.~3 'It.
RECEIPT 11: , _ ~I\~ {J
RECEIVED BY: <'1Ill \(l ./ - o--v'..-(
101LY Job Number
3. COMPLETE FEE SCHEDULE BELOV
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
.B.
Services or Feeders
Installation, 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
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 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
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00 J.5&o
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
,TOTAL - .
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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