HomeMy WebLinkAboutPermit Electrical 1997-10-22
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The. following project as submitted hos th, following
zOning, and doas not requIre sp~ific I::nd u::>
approval.
ZOning-ffiLL1!
225 FIFTH STREET [1..,,\0 -dJ. -~
SPRINGFIELD, OREGON 974r~
INSPECTION REQUEST: A92'6g3'i69Jnatura yII\
OFFICE: 726-3759
Permits are non-transferable and expire
if work is not started within 180.qjays
of issuance or if work is suspe~d~;5.or
180 days. ' ~Q' ~'^
"'VJI ,O~ '\'.
2. CONTRACTOR INSTALLATIONc.aNL~O~ ~~. B. Services or Feeders
1fJh '-'!J,i~ '~?'.sl Installation, Alterations
Electrical ContractorxL ELE;"';:~'''':~Or,,~(( or Relocation:
~O~~
Address 581 LANCASTER DR SE ~Fj.~.Q ~^ '9-~00 amps or less S 50.00
~~U'"~ ''>/'0' ~ amps to 400 amps S 60.00
Phone 391-911~ ~..,~ ,O~~~ps to 600 amps $100.00
. ~ ~~ S to 1000 amps $130.00
Supervisor License Number 2481 S *~V'~ I;lP amps/volts $300.00
~-9od~~ Only S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
1. LOCATION OF INSTALLATION
578 OAK DALE DR - SPRINGFIELD
LEGAL DESCRIPTION
17032242 08800
JOB DESCRIPTION
SF Residence
1950
Ci ty SALEM, OR
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Expiration Date 10_qR
Constr Contr. Number 24-269C
Expira tion Da te 10-98
Signature of
tJ~ R
Supervising Electrician
'-^-
J.--.....--..-.
Owners Name.Land w",.t- T.T.r
Address PO BOX 1032
Ci ty Albanv
Phone~6_11 q7_
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
~or sale, lease or rent.
Owners Signature:
~~~E~------'\\J~tt!t-~1-------~--~~
RECEIPT 11: ....\ '\'-l\ p."\'r'.'
RECEIVED BY: \.l'\~ '
ELECTR[CAL PERMIT APPLICATION
,Ci.ty Job Number 970883
3. COMPLETE FEE SCHEDULE BELO~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
S 85.00
85
1
l
S 15.00
30
S 40.00
200 amps' 'OT less S 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80:00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
115.00
--s:7 5
1 p:
124.20