HomeMy WebLinkAboutPermit Electrical 1997-12-29
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The 1ollowing prolect as r.u. m .: ~. I.' ...~
. end does not rcqUlr~ t.)....."'.... .
zoning.
Eopproval.
225 FIFTH STREET zoning:Lch ( ELECTRICAL PERMIT APPUCATION
~~~:~~~~REg~~~~ 9;~~~37.6~ ~ 'df151 Ci ty Job Numb~r '. a. ~ I ~ \ ~ ~ 1+
OFFICE: 726-3759 , 'h -ized Signature' Y\ "'^
,.u. o. -'-3. - COMPLETE FEE SCHEDULE BELOV
1. LO~TI9P Pf ~?TALLATION 1\ ~O
~~) _ tJ\ U'-ill"1-::1 0 \. ,~'" A. Nev Residential-Single or
- -?v. A l...~ Multi-Family per dvelling unit.
~AL DESCRIJ;J;ION O~~Q ~;;;k' . Service Included:
\'I()?l~~~"':l ~/' v,,. Items Cos
''J- '/<-11 '<'b .s:''S:1,
~D~CRI~iJ:Ort... n&AZf2~'O Cttlta '(<sOO sq.ft. or less \
\01 0]\\(10.1 \Ct..- ..,.::rv..a.t Ot$> ~t$> additional 500
. -' -' ^'<.<; {s> '%-&: ~~t or portion 5
Permi t are non-transferable and expi~Q -?O>~ ~~
if vork is not started vithin 180 days ~ ~~ a~~d Home or
of issuance or if vork is suspended for ~u ~A~ling
180 days. Se 1B-9~e~ Feeder
2. CONTRACTOR INSTALLATION ONLY B. 'Services or Feeders
ftx;b PI':> I..ev l:Ls.dIC; c,. ~~ Installation, Alterations
Electrical Contractor or Relocation:
... ............ ... -~- .,-..
.
DEVELOPMENT SERVICES DEPARTMENT
Address / tft) /(/ ~e.. tu'1 IJ Vr:.--
City/ZUy--'; Phone h~~7t;73
Supervisor License Number ~~ 1 t) S
Expiration Date I()-I- '1 '7<
Cons t r Con tr. Number q,,!- 7 _~
Expiration Date 1-l...S--Cf'6
~p:;Zlectrician
Ovners Name \=lIt-tHO ~ .~O 0
Address \ D [) \..~)\/ 'l4'L~
Ci ty Yl ~ <L Phone
OIlNER INJrALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE: l:l - ~C; - C;-,
RECEIPT II. .JCf, ~"S-:l,
RECEIVED BY: ~
Temporary Services or Feeders
Installation, Alteration or Relocation
40
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
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
$
um
$ 15.00
$ 40.00
'.'
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
\
$ 40.00
$ 55.00
$ 80,00
see "B" above
volts
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
$ 40,00
$ 40.00
$ 20.00
$ 36.00
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