HomeMy WebLinkAboutPermit Electrical 1999-1-12
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TMe, following project as submitted has the following
zonmg, and does not require specific land use
225 n.t La STREET:' approval. fi
SPRINGFIELD, OREGON,97477 Zoning LC.-/
INSPECTION.. REQUEST: , 726>a&7/;O 1- /;}.. - 0 <J
OFFICE: 726-3759
J.l.uthorized Signature ~
J.
1.
LOCATION OF INSTALLATION,
1914 MarC'ola Ro., Srrino-ficl..d O!.
- ,
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JOB DESCRIPTION'
Hook to existin9 cirC'"it.
,Permi ts are 'non-transferable and' expire
if work is not started within 180, days'
of issuance or if work is suspended for
180 days.
ELECrRICAL. PERMIT AP,LICAIJON
Ci~. Job, Number Q ~ \5\,
, CCKF::l!:l__ FEE SCHEDULE BELOII' . '4r' -
New Residential-Single or
Multi-Family per' dwelling un1t.
Service Included:
,
Cost
Items
1000 sq. ft.. or" less '
Each additional 500
sq. f t or portion
the reo f
Each Manuf'd Home or.
Modular Dwelling.
Servi~e or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor RR.v-O-I.i tp Si s;ns, HIe .Relocation:.
Address 101 N ~ana,.. '='
City EU12ene. Or Phone (S41) hRR-7500
Supervisor License Number 29ISIG
Expiration Date 10/01/99
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
Sum
$ 85.00
$ 15.00 .
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
0071490
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date
SifX;;;;/~Jl;;Y
Owners Namev\I\~ , ~t\ci\ :\~
Address '0>~\ \.A\\t\M.O\a,L \(d
Cit~\(\,\Go\~ Phone
. 01lNER IN~~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT *:
RECEIVED BY:
~/J~/!' r
, 772..[77
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see ItB n. above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump'or irrigation
Sign/OutlinA. L;.gb!L~g \
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
.<;
$
$
4D.CO
~.OO
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4'~ . !.If)
40.00
40.00
20.00
36.00
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