HomeMy WebLinkAboutPermit Electrical 1996-10-8
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SPRINGFIELD
The following project os submitta os 0 0 OWlng
zoning. and does not roquire specific iBnd uno
appro~va~oni I ",J)1l- . .
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Date ..P 111/'\ 'J ELECTRICAL PERMIT APPLICATION
974"lJ~lorlzedSI9neture I{\, 1~,IL/ c;>. /_ //
726-3769 Ci ty Job Number I V 0 c.p 07
3. COMPLETE FEE SCHEDULE BELO\!
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLAT7g~ IL ,.. f\ i j
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/7 LEGAL DESCRIPTION
03 d3> ()o0103
JOB pESCRIPTIOt/) )LJ "
S;''NJl'''~ rr~ ,I'---\-'
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 9~Y .8.
Electrical Contractor t?,~tof~~ h/,,)t,
Cjl{d-, OL I VE
Phone ~ JfI-g).E7
Address
City C\.(~A
Supervisor License
Number
Expiration Date
Constr Contr. Number (f; 7(/1 S'
Expiration Date 7/I~J97
Si~~erViSing Electrician
O~ners 'Name_~rf' rB I' (~ D.
:? ~\'7 ) R, ~ /1;,-'J PY .
City CLto~ Phone Lf~!J'-317~
I
'O\INER INSTALLATION
Address
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
~\
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RECEIPT 1I:.i)~.~50l.r
RECEIVED BY: h . II{cko..l1~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufld Home. or
Modular 'Dwelling
Service or Feeder
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
$ 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 ."B" above
.'
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 --L--
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .~. trV
5% State Surcharge /, (5lJ
3% Administrative Fee u, (,
TOTAL ' , ;}J. u, ()