HomeMy WebLinkAboutPermit Electrical 1997-10-30
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SP"FIELD
'he, following project as submitted has tho followlno
zoning, and does not requIre specilic lend U~
. approval. 1 1I
Zoning L..Gt V
225 FIFTH STREET ,jl()/l,()....CJf1
SPRINGFIELD, OREGON 97~17 ~I
INSPECTION REQUEST: 7,iu~Slgnature..:-...r:lM
OFFICE: 726-3759
- 3.
1. LOCATION OF INSTALLATION
~""'91 ~~A)
ELECTRICAL PERMIT APPUCATION
City Job Number
COMPLETE FEE SCHEDULE BELOV
97// S 7
. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
LEGAL DESCRIPTION
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DC:::- 2.D1 .
JOB DESCRIPTION
etecr ~ ~ ~.M/k."z,.
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
Address
NOTICE: Phone
THIS PERMIT SHALL EXPIRE IF THE WORK
Supervisor JtjfjfSAlZElr~~Df:n 'flll~ r:f.r:'IT I~'NOT
Expi ra t i on _~lENr.ED nR I~ ABANDONED FOR
Cons tr Con MY ~ftlltP~ PERIOD.
City
Expiration Date
Signature of Supervising Electrician
Owners Name ~)e: /I~e...t:::
Address..l~7 J .$A7A)
Ci ty ;;'7 r) Phone ,7~- 5'/ J 2-
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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---------------------------------
DATE: /~~O-7:~~
RECEIPT 11: . c:::.. . , I-
RECEIVED B .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling'
Service or Feeder
.B. 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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~~.~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit //?
E.
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00 2LJ ~
not included)
40.00
40.00
20.00
36.00
$
$
$
$
'70 !:E-
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2./0
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