HomeMy WebLinkAboutPermit Electrical 1996-6-14
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b lItod has the followl
Theloll0w1n9 projectt ~~~ir:.pecjflC land use
zoning, and does no ...... .
approv.1. if!!: L f.
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Dete JP \<1 ct. - r'l<\ ^
9747/ -/IV\
726~zod Slgne\U'"
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. cf~I~c~J1~l~0 W
LEGAL DESCRIPTION
J'7n<. ?:< DOn loos
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JOB DESCRIPTION '
4taya.,.... DvrLcAJ\tfCL..
,
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 ONLY .
Electrical Contractor f?0r~~vJ7:i
Address qLf~ OL-f(;&-
City.~~
/-?rh'
s--r
Phone ~<f{ -8m
Supervisor License Number
Expiration DateJUL.-Y 12-, lqq (,
Constr Contr. Number 01Lff5
Expiration Date
Sign~~f~~~~~:;~trician
Owners Name ~ fv-V( U () f~B
Address 2/5q3 /(1I1<lV Patd( ])y
City hAr;0Jf, Phonelf6~-311.b
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: <.0 -- / ~ 9'(;?_ -
RECEIPT l!:()_16"(1' ; .
RECEIVED BY: /J, /)'Jr:,)C/lOXZ U
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q (a () 3'5 q
3. COMPLETE FEE SCHEDULE BELOII
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit. ~/~
co~
Items
1000 sq. ft. or less $ 85.00
Each adaitional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home_ or
Modular-Dwelling
Service or Feeder $ 40.00
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
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or-1000 volts see "B"
D.
Branch Circuits
above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL ~---.
I
$
$
$
$
(JD
_..~
,Ip.()
a I C7f)
40.00
40.00
20.00 f-Kl.u;)
36.00