HomeMy WebLinkAboutPermit Electrical 1996-7-29
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SPRINGFIELD
The following projBC1 os aubmltled has the follow
zoning, and does not requIre apaclfic land use.
,approvat, (\ (l
Zontna \" "-' '
225 FIFTH STREET
,SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Dale l' 7.C[' qJt
974 7Authorlzed Signature
726-3769
1. LOCATION OF INSTALLATION
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w\, :~~:~~:gwDlerN
3. COMPLETE FEE SCHEDULE BELOV.
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 Manufld Home, or
Modular 'Dwelling
Service or 'Feeder $ 4p.OO
C!il\ljt~r;~foM V
~are non-t~rable and expire
if work is not started within 180 days'
'of issuance or H work is suspended, for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B. '
EleCtrical Contractor LAr~..,( 1.",J.I,......t.rp.
~ v ~
Address 47.0.&-< 2/1',,"1
I'
Ci ty F-t>... <d~t2
v
Supervisor L{cense Number
a.~-2.I"'"
Phone
Expiration Date
~~S.
/~~'"
Constr Contr: Numbet. /()90'2.1
Expira tion Date (1)~ I 2Q;4/&
ggnature Aof ~p~rv~ Electrician
~A1~ ' '
t/' , J D.
'Owners Name .5'A..k~~ .z./~'n1A,,"I1";' ,
Address/l>7S /)r~".~...,J,--.../ ~.
City..1~ Phone 7Q7.., 2.112-
,OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
, Owners Signature:
~
~A~~~-----------J---1f~-~~-----~ , 5.
RECEIPT II: '&~ ) !fA I Ar.J
RECEIVED BY: U\~
Services or Feeders'
Installation, Alteritions
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
$ 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 Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB" above
New, Alteration or Extension'Per Panel
"
,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation :
Sign/Outline ~ighting
Limited Energy/Res'
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL '
s
s
s
S
7 7,'"
, &-'3.li!I1'
2.H '
~~,,?/~
--.
40.00
40.00
20.00' ,
36.00