HomeMy WebLinkAboutPermit Electrical 1996-7-22
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Zonina (ll J
225 FIFTH STREET Date..:J''7:1..q(p
SPRINGFIELD, OREGON 9747Jl.~S1gnal
INSPECTION REQUEST: 726-3769 uro
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
,.. .,' Job Number Ul~l) / (J()
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unit. T
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COMPLETE FEE SCHEDULE BELO'\l
3.
1. LOCATION OF INSTALLATION
frY) I Marl? ..51-.
LEGAL DESCRIPTION
\1 (\ "-71J'?41 ~ '?f71JO
New Residential-Single or
Multi-Family per dwelling
Service Included:
.
A.
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
o rJ A -m .see u. ~ / fy -1 <rI:tiJ:J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i trol SeclJr; ty or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
\
Address P.O. Box 21009
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
Phone 461-5678
City r:lJuene
Supervisor License Number /68'9 ~ET
Expiration Date /!)-/-qc-,
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 6-28-96
Electrician
Signature of Supervising
.;:::?d~
Branch Circuits
I'D.
tllariy &,grc/ '
Owners Name Spr""3 fie/d
Address St2 W7.f'
Ci ty Phone 7 Zvr Z39fi
New, Alteration or Extension Per Panel
.$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
OVNER INSTALLATION
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 --L-- $ 36.00 ~
5. SUBTOTAL OF ABOVE 3&' 0'0
5% State Surcharge I ~CJ
3% Administrative Fee J Oii'
TOTAL ,:;:g.W
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~~::l~~-~~-------------------
RECEIPT #: ( r~ !!:":C);~JJ
RECEIVED BY: n TY1~.h" \rYAJ