HomeMy WebLinkAboutPermit Electrical 1996-7-30
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SPRINGFIELD
The following projec\ es iubmitted has Ihe followi
zoning, and does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoning ~
97479crtej' ~ . a);
726It1lil<ed Slgne\ure 11/1
1. LOCATION OF INSTALLATION
4-~lliq I \11 ~ .
LEGAL DES~PTION
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,/
ELECTRICAL PERMIT APPLICATION
:~ :~- Job Number
3. COMPLETE FEE SCHEDULE BELOV
9'~69 /
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
JOB DESCRIPTION
wtiu , .J\o crt ~ 1I1YY1 P J
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractorQ.t.s P ~~i~~ 'I~'
Address P.D. ~4 /~g1., .
City~ Phone 7tJ.1-~?'3b
Supervisor LIcense Number ~S
Expiration Date 10 -1- q 2
Constr Contr. Number 0 ~ &4q
Expiration Date q -j-qb
Signature of Supervising Electrician
~ ;.;/~ #~~----
~Yners Name~ \i~~lJ~~
Address 45'61 ~'l{j ~t:,
City~~hone '79.b':'1/'1/
o~ I~~ALLATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dyelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
It ems Cos t
Sum
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
S 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 Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit above
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00 35'.00
$ 2.00
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
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ? ' "'2'7-"'7-;;;
RECEIPT II: -:2~
RECEIVED BY: ---:?_____ '
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'TOTAL '
.-:j~. Of!
t. '15
I,QC;-
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