HomeMy WebLinkAboutPermit Electrical 1997-2-12
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The following project as s,u.~:;'~p~if\C lend uO'J
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225 FIFTH STREET approval, L- Co ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning? _ j 1.. - 1'7_
INSPECTION REQUEST: 726-3769'~ '
OFFICE: ' 726':'3759 Dote. --:N M
1. L~5~~ OF J;;ALVATiCjNod s\gnatu:o
LEGAL DESCRIPTION -na ....",;, 0
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, JOB DESCl}lPTION
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Permi,ts' are non-'transferable and expire
if vork'is not started vi thin 180 days
of issuance or if,vork is suspended for
180 days. '
2.' CONTRACTOR INSTALLATION ONLY ,B.
Ele~,trical Con,tractor _~t:a;j,,,.
Addr.ess /oCf'z-~, ~ '
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Ci ty ~.~' Phone 7z r -/SOIJ '
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superviso:rLicense Number 9CfS -' s
/2-(97
Constr Cont~. Number G 5/37 /?1;
)V 97
Expiration Date
Expiration Date
f
Signature of Supervising Electrician
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Ovners Name ~kGt) ~~4''':.7
Address
Ci ty Phone '7~ --2S 5'.J
OVNER INSTALLATION
,
The installation 1s being made on
property I ovn vhi~h 'is not intended
for sale, lease,or rent.' '
'Owners Signature:,
---------------------~---------------~
DATE: ' :2'//2-/?7 '
RECEIPT #: '7 f, ~ 0) h /
RECEIVED BY: ~
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City Job Number
9c;:,( 3& ~
3..-GOHPI;ETE'FEE SCHEDULE BELO\l
A.
Nev Residential~Single or
Multi_Family per dvelling
Service Included:
uni t.
I terns '
Cost
Sum
I .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 46.00
Services or Feeders
Installation, Alterations
or Relocation:
.200 amps or less
201 amp~ to 400 amps
401 amps to, 600 amps
601 amps to 1000' amps
Over 1000 amps/volts
Reconnect Only
v
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5:J ,170,
C. ,Temporary Services or. Feeders
Installation, Alteration or Relocation
200 amps"or' less $ 40.00
201, amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D. Branch Circui ts
.
. New, Alteration or Extension Per Panel
One Circuit
Each 'Additional
Circuit or vi~h Service
or Feeder Permit ,.,
$ 35.00
!,
$ 2.00 /0
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
5. SUBTOTAL OF ABOVE ~, OV
5% State Surcharge '? <:h:>
3% Administrative Fee 'I. ~
TOTAL, :::~: 6'0