HomeMy WebLinkAboutPermit Electrical 1999-12-9
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SPRIN.LD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
The following project es submitted has the toll owing
zoning, and does not require specific land use
approval. C. c-- ELECTRICAL PERMIT APPLICATION
Dale Zonin~1-_ " -<'i '\ Ci ty J~b Number q q / &.5:. s:
AutnOnzed S'gnatih ~"Dr "",,, VilE liCHEDULE BELOV
1.
LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t-i-rf3~C/
Address p.{). J!?())(
City c:?'v"~
1/ ( '3"1
Phone bRk-~ b
35"535
10/ 'Lot:>o
r;Q7<1.f
c:; / 'Z.-oo (
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature o~e/~~trician
V .
Ovners Name lJ.S. wt;;S I
Address ~O.:)O fJ. /)~,
Ci ty P:;Ub ~ Phone lift! 2; H:~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
OYners Signature:
DATE~----------~-t~~~-2.f---~------
RECEIPT II: . :fJ<'r.:/!.~'f\7
RECEIVED BY: I., IVI/D _ _'
*
. A.
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof,
Each Hanuf'd Home. or
HodularDvelling
Service or Feeder
l'
SerNices or Feeders
Ins'tallation, Alterations
or Rel'oca t ion:' .
200 amps or less l (> ~~':~'o.00 5{LDD
201 amps to 400 amps $ 60.00 .
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 10~amps/volts $300.00
Reconn,e4fJ.~~~ $ 40.00
, 78.o~ t:..
TemR~~~Y ~vices or Feeders
Ins~~~~~7~~teration or Relocation
-41\1 ~.s. \('~D "'It.t.
200 ~.'It~d;V4>. ~"",I:> $ 40.00
201 amp~.<jlj.o %Jrt~p~ .~S'/~ $ 55.00
Over 401 tcf&QO"<\'JIlllS/o'.o . fly/> 80.00
Over 600 ampS'/~ 1'O@~N"S'~~'B" above
. ~<S /8 ofof'
Branch Circui ts O~O~ 1\10)' ','
Items
B.
C.
D.
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
. r
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
SO, 0 ()
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