HomeMy WebLinkAboutPermit Electrical 1999-11-4
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The tollowing project as submitted has the tollowi
zonmg, and does not require specific land use
approval.
Zoning lpIL-
225 FIFTH STREET Oafe \ 1- <-\ - "I "\
SPRINGFIELD, OREGON 97477 , ~
INSPECTION REQUEST: 726.!37~zeo Signature
OFFICE: 726-3759
1. LOCATION OF INSTALLATION //
7771 (')L/7 (]~1J
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 ONLY
Electrical Contractor
Address ./
City Phone ~
Supervisor License Numbe~
Expiration Date /
constr.~~~mber
EXPi70n ~ate
Si~ature of Supervising Electrician
Owners Name /krn.J /4., (~
/ z 5'/ ~(l
Address
Ci ty 2:.,,<//-,
.?
OYNER INSTALLATION
Phone ];2 -1'1/1)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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------------7-------------------------
DATE: ///.. 71'
RECEIPT II:: Ujf,rl'i' 7' 1/1 f/
RECEIVED BY: ..uI t.</ ...v
1o;/y~O.
EI,EkTRICAL PERIlIT APPLICATION
~~Ll Job Number~
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"
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
.{VPS(..~t:'E-'}v':- ,. ~! _'''I...<J~
200Ba'liips,1 0 f':'l'ess: d' 0 'L'~ 101 lAQ1SnSO . 00
201:amps' to' .400 amps' '$1::'60.00
~L40l:'rampslto-600 amps' '. . '\ $!LOO\OO
_L6Ql'.amps. to 1000 amps' $130.00
.!)yer 1000 amps/vol ts $30Q.00
'\\!,c.<;>pr.eSO!;Q!!1y", '...' d..,$,I!<P'OO
'"4110/. ~E:.llq"'"l' 1',1-""1 'lr, _. ,,"!' "
C. Temporary Services or Feeders
Installation, Alteration or Relocation
N011ClEi00 amps' 'aT less / $ 40.00 c;.o
I HIS PER~lD'81i1ll1Il'8lj01~Wf!PW':','1r. $ 55.00
AUTHORI~~N"'Q,b,t.9, 11J,P'~L $ 80.00
-/Jve'1: 1;'00'!frl/~ !:UOO""'Ol ts see "B" above
COMMENCED OR IS ABANDONED FOR
ANY~OD~fl'ERIo{3!.rcui ts
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 '-/0
7% State Surcharge J..-~v
3% Adminis tra t i ve Fee (. u.
TOTAL '1'f,<9f)