HomeMy WebLinkAboutPermit Electrical 1997-1-6
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" ,.. d" - D.. submitted h__ h
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'~,J~.ov9f. '. Ire SPecIfIC land use
'Zoning. GO
. Obts), & '1-1-
974 7.1thortzad SJ . I ~A
726-3769 gnatu,.. PJ,vI
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.
225 FIFTH STREET
SPRINGFIELD~ ,OREGON
INSPECTION REQUEST:
OFFICE; 726-3759
1. LOCATION OF. INST4LLATI9N' I.' If
!/.f2..CJ.",,) If} aUL .ti.'1 4.f117'u7JiY d vI.,; A.
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. J~~;,DEJ~,.,FTION .
II \tJlLl~ IN) ili(lJLCI14rr:t
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 .B.
Electrical Contractol}cl.9 r:~ oi1/)I~-; k
Address 2;0, Bot 9:, I~. ~. '..
Ci ty.GJl;fJ.1[j . . . phone6!:JJ.:9J8-7bJtS
Supervisor License Number :::s:J!5;j s
Expiration bate lo-,-q<;<
Constr Contr.. Number ..-:2,;:;>'~
,
Expiration DateL./-;;)I-'1!
, Signat~e of supe~iSing Eiect~ician
/..) ~
Owners Namei'D ~ ~ . ~~J111~~
Address ,..p.D ; berx.. d,'2,7
Cit~i J (Ij~' , Phone
q13 .. ,
OVNER INST LLATION
The installation is being made on
property I own which is not intended'
for sale, leas~ or rent.
Ovners Signature:
E~!~.~::~:~--~~:~~7J;4-~~----
SaGFIELD
, '
3.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number . Qlcf1.:.~\
COMPLETE FEE SCHEDULE BELOI/ ~
New Residential-Single or
Multi-Family per dwelling unit.
'Service Included:
Items Cost Sum
iooo sq.ft. or less
Each adcii tluual SOO
sq. ft or portion
thereof
.ach Manuf'd Home_or
Modular 'Dwelling
Service or Feeder
'$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Reloca don:
rj.
.....L
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
:J {)(J .'gE.
1,:)().'iJ'-
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.
Temporary Services or' Feeders
Installation, Alteration or Relocation
200 amps' 'or less.
20r amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lUUU volts
$ 40.00
$ 55.00
$ 80.00
see "ii" aDove
.0.
Branch Circui ts
"
New,' Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service'
or Feeder Permit ~ $ 2.00 /5:)ES!-
not included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
./ Sign/Ou tline Ligh t ing
Limited Energy/Res
Limited Energy/Comm
5.
$
$
$
$ 36.00
',-/1/). l8-
.2, ?laU
1t.J.~ I
:...5.. f () . ij ':"L
40.00
40..00
20.00
SUBTOTAL OF ABOVE
,5% State'Suicharge
3% Administrative Fee
TOTAL