HomeMy WebLinkAboutPermit Signage 1997-3-20
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225 FIFTH STREET Zonina r (
SPRINGFIELD, OREGON 97477 - J
INSPECfrON REQUEST: 726:!:3.7.6..Q ~ '7,v'1]
OFFICE: 726-3759 AuthorIzed Signature T\J tv\,
1. LOCATION OF IN"'sTALLATION
LP, '9J f'(\(\', (\ ~,
LEG4J,. DE~PTrgN
n O'j. 'I) ~ '/} I
JOB DES~PTIOi .
ill. WI, t'\j c+- (2fL e ~ '-$-f\
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work ,is suspended for'
180 days.
(J~~tJ!J
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor E?~~ ~f\~
Address Id I () 0a V fYdri' YZd .
Ci ty EUjliJ~ Phone wY"')-55lJ L,.
Supervisor License Number l{S!)"
Expiration Date Dut-, \ t7Jq
Constr Contr. Number \ \\~~Lo
Expiration Date ~ .~ .<J\~
Signature of Supervising Electrician
/20/1 ~. ~&4) /
Owners N:m~:'~f\~ D.
Address ~~\) \1(\~.~
City}~ Phone 4<6$.l)~lO
OIINER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~;~:~:.~~~~
ELECTRICAL PERKIT APPLICATION
City Job Number qiD 3> 5~
OOUDTDTD FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
, Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Cost
Sum
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
$ 85.00
$ 15.00
$ 40*0,0.
""d)
')'7
I~'
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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 $ 36.00
5. SUBTOTAL OF ABOVE ~,~
5% State Surcharge q"UU
3% Administrative Fee ,. ~
TOTAL i/I).'W