HomeMy WebLinkAboutPermit Electrical 1997-9-24
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Th~ fe-howlng project as submitted h:l$ tho following
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Zonina
SPRINALD
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~~ .~'" ~ City Job Number
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~~ q,0 ~ COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION <tf $ rNC5
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LEGAL DESCRIPTION ,f/ {::. ~~ ~ Q'
/70 ?... 33111 0/ ""I ~ .!:5..;f ,r-9 ,..,&:-,if
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.JOB DESCRIPTION ,,~. {o...-P # i:-
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Permits are non-transferable a~expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
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225 FIFTH STREETuthorlzoo Slgnoture n fltI
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERIIIT APPLICATION
Q,IJ..00
*
Nev Residential-Single or
Multi-Family per dwelling
Service Included: .
Items
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling .
Service or Feeder .
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t rol Secur i ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461 - 5678
Supervisor License Number ItS?Cf K'ET
Expiration Date /(J-/- 99
Constr Contr, Number 65149
Expiration Date 7-2000
Signature of Supervising Electrician
~~~~.- .
Ovners Name TAt' 7)()/hy S/oye
Address.,d;Q7 tJl;.m.p./("
City Sfr/'7}lJeJd Phone24c, -t,~n5
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
~A~E~----CI'~;iil~-~-~-----------------
RECEIPT #: ;)..7L./q;:>..o
RECEIVED BY: i(LL)
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
uni t,
Cost
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
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 fiB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
/
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40,00
$ 40,00
$ 20.00
S 36,00
3.fd!P
3(000
J !:s'O
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