HomeMy WebLinkAboutPermit Electrical 1996-4-8
The iollowing projact as submitted has the foil
zoning, and does not requIre specific land use
approvul. ~/7 J
Zoning f<--/
Date L{ - -'1' ELECTRICAL PERMIT APPLICATION
117 V ~i-t-y-'Job Numb'J'r q@o ( B~
3. C;kPLETE FEE SCHEDULE BELO\I *:
A. NeIJ Residential-Single or '.
Mul t i-Family per dIJelling uni t. "
Service Included: '
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3A69>00zOO Signature
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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60('80
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started IJithin 180 days
of issuance or if IJork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B. .
Electrical Contractor ~P\ \S\tJ\ris fl()&
Address~ 0p(\~\ \\\00 .
City D'fi~ Phone:1\~
Supervisor tlcense Number ~~{)~
\r\ \.
Constr Contr. Number \\Il~_
1j.~,
Expiration Date
Expiration Date
Signature of Supervising Electrician
O/d~" ~
olJn~med%>7jf"G Cwl,
Address
City Phone
O\INER INSTALLATION
The installation is being made on
property I OIJn IJhi~h is not intended
for sale, lease or rent.
OIJners Signature:
-----------, ,-----:;7,::-7::-----------------
DATE:_.m ~S'//t
RECEIPT 11: '~
RECEIVED BY: ,~....
Items Cost'
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or .portion
thereof '$ 15.00
Each Manuf'd Home, or
Modular 'DIJelling
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
C.
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or ,1000
D.
Branch Circuits
NeIJ, Alteration or Extension Per Panel
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
One Circuit J/" $ 35.00 2.5:'''0
Each Additional
Circuit or IJi~h Service
or Feedel' Permit /1 $ 2,00 22.,0-0
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
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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