HomeMy WebLinkAboutPermit Electrical 1996-10-4
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The lollowing project as oubmlttedhas the fo}lowing
zorHng. ~\nd does not require specific land u;"s
approval. . ~tJ '
Zoning l--lt::)~
225 FIFTH STREET Dot. \ 0 .4-.q ltJ "YI/\
SPRINGFIELD, OREGON 97471 flY'
INSPECTION REQUEST: 7~1}'6'9' Signalur.
OFFICE: 726-3759
v
1. LOCATION OF INSTALLATION
LtSo -mr.j\~ R\r\.L.
.. .
LEGAL D~CRIPTION
1103 d).. /3 0;).),,0
JOB DESCRIPTION . :h .
3 UJ~I\\-l~O' (I n~cu
Permits are non-transferable and expire
if work is not started within 180 days
of issu~nce or if work is suspended for
180 days.
Cit
Supervisor
Expiration Date io - I -qQ
Constr Contr. Number 03 gL}q
. Expiration Date q -I -q1
Signature of Supervising Electrician
C!A~--//t7 7~ D.
Owners N';mefnt, V(\b~O'~l~~
'Address bS1 . .~, .
Ci t~1\.1 ~t)tr ~ ~ A..LPhone ~ b1 to
'><.1 _ .pllNEl\ ,I~STALLATION .
U~ foJ.1A-.s +UYUVL / ~1'LiJL .
The installation ig being made on E.
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~AT~~---}2)~~-~~~~------------------
RECEIPT #t )?{.J,."Of..rr;Jl .
RECEIVED IlY'llJYlC5.rJ,,0:fj{)
ELECTRICAL PERMI1j1PPLICATION
u ty Job Number '-/1 ~ / 3L-f /
3.
COMPLETE FEE, SCHEDULE BELOV >>.
New Residential-Single or
".Hi-"."y pO' do,Hi" "H. _...-.
Service Included: .
I terns Cos t Sum .
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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,
S 50.00 150.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
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 volts
$ 40.00
$ 55.00
$ 80.00
see tlB~' a~
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each ins talla tion
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00'
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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