HomeMy WebLinkAboutPermit Electrical 1996-4-16
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The. fOllowing project as submitted has the followln
ZOlllng, and does not require specific land use 9
approval.
Zonioo L D n
225 FIFTH STREET I <-
SPRINGFIELD, OREGON 9747j08te~ (0
INSPECTION REQUEST: 726?J,7~?,z dS' co .1'-'"
OFFICE: 726-3759 . I e Ignature_ .::. v--'
- 3.' COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
12~'3 ~A/ -5'..7""/ (.I 'S?
LEGAL DESCRIPTION
..1-7-/73. ';(.? l./ /, CJ$7.::::scS
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.
.A JOB DESCRIPTION 7=;
j,g{~cET~ /7J#/Cg..zs>
,
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
City'Job Number
ELECTRICAL PERMIT APPLICATION
A.
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home_ or
Hodular 'D~elling
Service or Feeder
-L
2. CONTRACTOR INSTALLATION ONLY B, Services or Feeders
\ \I\Y . '0' f\ -\-Installation, Alterations
Electrical Contractor"-Il' P(l7-\f' ,~\1f,( Ueo or Relocation:
Addres's \)() ?n-t.. \\ \ _ 200 amps -or less
\. '^ \ ~ . \\ l410 .1 t'o.ACI - 201 amps to 400 amps
Ci tY.ll...1 \ \-wr\1I P Phone '\VII! 401 amps to 600 amps
'J.. 'J..() ~ 601 amps to 1000 amps
Supervisor. License Number ~~1O~ Over 1000 amps/volts-
\f'o.. . \ . Reconnec t Only
Expiration Date \ )
Constr Contr. Number~~
Expi ra t ion Da te
~.\~.
Si/~ ~;(e:;ing Electrician
O~ners Name ~f;."f."'" ;1/' ~SI'~~
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT Il:
RECEIVED BY:
q -/6 -:;?t::'
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~~
C.
"'76::::'S'.a:::
uni t.
$ 85.00
'$ 15.00
$ 40.00
SIc? -
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see uB" above
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith 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 S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE ~~.~-
5% State Surcharge "2-....
3% Administrative F.ee / ,:2..::>
TOTAL- 4'3.20