HomeMy WebLinkAboutPermit Electrical 1997-4-4
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
97477 Zonin9_
726-d.?,6! -
AuthoriZed SignaIUro_3.
LOCATION OF INSTALLATION
~35o', lK(d;n sf. ~, .' c:, <:;:
LEG~ DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
ELECTRICAL PERMIT APPLICATION
-
City Job Number
q7tJ15~
CUMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included: '
uni t.
Items
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
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor, Son it ro I Secu r j ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number /ih89 Ril
Expiration Date
/I)-j-qq
Constr Contr, Number 65149
Expiration Date 7-2000
Signature of Supervising Electrician
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Owners Name IIc/YIp ~/~
Address Sovn.P
Ci ty Phone ?:2t.-1J35d-
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Signature:
~A~E~---2f=-~~-tf-~---------------------
RECEIPT 1I: A. 'zS/'l; ,
RECEIVED BY: //1,
-L
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
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm I $ 36.00 ")6,.=
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
3(.. D7;J
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