HomeMy WebLinkAboutPermit Electrical 1998-6-1
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I . 1 IvllQWlng prOject as au mlttod has thO' following
'"ng, and do"," not require epecnlc land usa
;o~JtJroval. .
Zoni"" \ Ovy ,
Dete (0 - \ -01 ~ . , . \lJOrr.v..
225 FIFTH STREET ~ ^ c:c. \r ~~'er.EC'X&ICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON P<jl}wtjzpd S1g'!lllif<(:' r\ I V '-~'l?~f' . .~ \S ~v ' Q . C
INSPECTION REQUEST: 726_3~~\\V;~\~S~P-\..'- ~~\S?~I''''C~W.Job Number -/(O/tJ-j
OFFICE: 726-3759 ~~\S?~ 0 \)~\)crr. ..Nf\n~c\) . -
...~~\tt; , ~~n Jr~~~-oI'lPLETE FEE SCHEDULE BELOY ~
1. LOCt\TJ~.g,F IWilT)H.ATI~N~IJ' . .It.c~- .
en 17"'/ 1A~{hl-1\ ~'U.~ ~t~O\)'New Residential-Single or
.'''-li ,~()V'" Multi-Family per dwelling uni t. ~
I ~Af.,QE;;~"PT PT,I! Oij/~O::"'\ 1'" Service Included:
ILJ~-L~LI.~J ~ ~ Items Cost Sum
JOB ~fi~~ON or~
Permits ar~ non-~ansferable and expire
if work is not started within 180 days
of issuance or if work is' suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~~t[1hon1(~
AddressnO. R/')lC YOS([~
Ci ty EUjP.Af\ t Phone L-j $5--L/ .-CleYl6
Supervisor License Number lCff;2 fCE-T
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Expiration Date 5!2..81ct.~
Constr Contr. Number ct~1 lt~
cI/'1 JOel
Expiration Date
I
s/1J;~upe
o:ner~ NamelrdnUJ t ~ lUJ1IA_
Address 5(.0 fisJ- /b7'-
Ci ty fiAj&1 e.. c:f<. Phone t.../I?Y -Oc5ln
OI/NER INSTALLATION
ician
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:~~~:~-:~-c;-~T~~r~;-;;j~--------
RECEIVED BY: ')<. FVI..u.....----",
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
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
$ 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' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. ' Branch Circui ts
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00 :J'lJ. r~ ()
$ 36.00 .
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