HomeMy WebLinkAboutPermit Electrical 1997-1-17
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T"l~ follo\"ing project as subm~.-;d h:ls th:..: To!lc\-JinJ
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225 FIFTH STREET - L Dr2- ELECTRICAl. PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning fII \ 1-1 "'l
INSPECTION REOUEST: 726=3162l::U::-11 City Job Number ~\O\ \l)
OFFICE: 726-3759 ,.., d S' l .. . '
1. A-O$=.ATIQli,p: INST~:;~N --=nt~~~'PB FEE SCHEDULE BELOV ~
IJ.L\\O N-.\'\ot'\,l1 0 , nOn\J ill - A. New Residential-Single or . ' " ','
-- Multi-Family per dwelling unit. .
LE~)Q~CRIPTI~_^- __ Service Included:
\ilYJV.irfT4- ~ P.-U.\'() Items Cost Sum
{o ~O~D:~~~~, Qof.) ~9I&
Permits are n~n-transferable and expire
if work is not started .ithin 180 days
of issuance or if work is suspended for
180 days. '
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor &>bffl>nW 8.rehTt- It'\c. .
Address \'CO 1(',Y\{.\SbLlYV AvL-
...J '
Ci ty GaJAAL Phone ~g'1- 7q7 3
Supervisor Licen.se Number 3'77S 5
Expiration Date ID-,-q 7
Constr Contr. Number Q(g17S'"
,"
Expiration Date (-25-'17
Signature of Supervising Electrician
Lj/t(d nJ '
ow:ers Name \J I ~o ~,~rf\
Address ~~~~ 'n~fON llto .
Ci ty rt"Qgt\O- p.hone.~S.?JI1IQ.
OIINER ~STALLAnON
The installation is being made on
property I own which is not intended
for sale, lease or'rent.
Owners Signature:
DATE: -------/7/7/7' '7 ---- ,
RECEIPT 11:_ 'f - , ~Z.f ~3
RECEIVED BYI ( '7~D
. ,--7 -f. -
1000 sq.ft. or less L $ 85.00 -is
,Each additional -500
sq. ft or portion- lo .ilil
thereof $ 15.00
Each Manuf'd Ho:ne or
Modular Dwell;ng
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
$ 50.06
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over, 401
Over 600
or less
to '400 amps
to 600 amps
amps or 100u volts
D.
Branch Circuits
l
$ 40.0'0 ~
$ 55.00
$ 80.00
see "B" above
New; Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE rQ l~ (i)
5% State Surcharge II) .1""
~ 00/0 lo."t'\
8'3~.~
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