HomeMy WebLinkAboutPermit Electrical 1999-11-2
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The following project as submitted has the follow
zoning, and does not require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LOP,
I 1- :::) ,q C1 ." "'"""RICAL PERHIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOW
97477 Date
726~m"'rized Signature
1.
LOCA.I;ION OF INST4I,LATION ,.L"
7,"'57 .b?=.rhf/2/A ~~7>"t'; A.
LEGAL DESCRIprION
/703 :z..~ 4~ ~ ~f':)
JOB DESCRIPTION
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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.
2. CONTRACTOR INSTALLATION 9NLYB.
Electrical Coritractor8obF,'sJ......,.. f.'.let:.r"c.
Address IRO /.("I'l'1<hu,,"y 1J..J/P~
City e ufeYJP- Phone(, f3q-7973
Supervisor License Number ~q '15- C;
Expiration Dace
"'';'':1 Job Number
99J4.n5
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
D.
200 ampS"QT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
Items Cost Sum
1000 sq. ft. or less ~ $ 85.00 9,:)
Each additional 500
sq. ft or ,portion 5'" 75"
thereof $ 15.00
Each Manuf'd Home. or
Modular'Ovelling $ 40.00
Service or Feeder
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Conser Contr. Number QiP::l?,~
Expiration Daee
SVJ:1;Jt Jr!:~;]:;ctrician
Ovners Name 'Ft/rz;/tE-' B
,
Address
City Phone 7#-7;40
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, leas~ or rent.
t-- $ 40.00 ~
$ 55.00
$ 80.00
voles see "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Bach installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
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DATE: ' // /2. /r9
RECEIPT ll: I 7~4~ ~
RECEIVED BY: J/~~
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5. SUBTOTAL OF ABOVE
7~% State Surcharge
3% Administrative Fee
TOTAL
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