HomeMy WebLinkAboutPermit Electrical 1999-9-22
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The following project as submitted has the following
zoning, and does not require specIfic land use
approval, (.) D
225 FIFTH STREET n'n L I '\.
SPRINGFIELD, OREGON 97477 Zo I g 9 _ :::r~ -9 g
INSPECTION REQUEST: D~~:; '1
OFFICE: 726-3759 Authorized Signature ~
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1. LOCATION OJ:;. INSTALLATION
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LEGAL 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.
2. CONTRACTOR INSTALLATION JiliY
Electrical Contractor ~
/
Address
/ Phone
/
Supervl~or L~ense Number
EXPirati7Date
cons~contr. Number
Expi,ration Date
I
7ignature of Supervising Electrician
City
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.( Owners Name C" #<9L-t.i"'7 t?. rVi€-d't?' ",-,t-
Address ,0029' t9A,C- /7~PPtoJ 'pL.
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature~
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DATE:
RECEIPT II:
RECEIVED BY:
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,ELECTRICAL PERMIT APPLICATION
City Job Number
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
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:
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
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Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 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 liB U above
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New, Alteration 0, Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 3'>
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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