HomeMy WebLinkAboutPermit Electrical 1996-4-19
S.CFIELD
The following project as submitted has the fcf!
zoning, and does not require specific land use
approval. . 0
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225 FIFTH STREET Date_Lt,'. ~(Cl q / /7 ELECTRICAL PERMIT APP~~_
SPRINGFIELD, OREGON 97477 Y' (\~\I .~
INSPECTION REQUEST: 726-3lkl!,orlzed Signature ~().. Ci ty Job Number V\~) \
OFFICE: 726-3759
3. OMP.LETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTALLATION
()(l.EloW "" E. T\'LO 2J,sS' ()LV ~ Pi C STI'Z.fr:(
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JOB DESCRIPTION
\ (\c.,ra. \ \ " \ \ \1m, 1Y1,,(\\ lrnen t "\'~Y'')
Permits are non-transferable and expire
if work is not started within' 180 days
of issuance o. if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor_t:.c,.... AJ IN<"
Address 12\0 OA t.\>A'TtJ+ eo
Ci ty f.1.A~f'I'1e.., .
Phone LlP,C:;.S<::;Li~
Supervisor License Number Sqo Sllo
Elfpiration Date \O-(-'1t"
Constr Contr. Numbe. 1,1 \ z..C6~
Expi.ation Date ;?-;;:2-qfl
7~ ~iSing Electrician
v D.
Ollne.s Name,i')Q.E'=>O,J \-\~i"E.D (iQ:)11 UoJID,l
Address 13l.'2. ~El.. tx-
City ~(,E.I0t<. Phone C;'O'tl- ')IY'1
OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----~4-t:t;-;~---_.: 5.
RECEIPT #:' ~. ~1;5- ZlJ 07
RECEIVED BY: _ 1/1: ~.
'>J \....~l,...
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cas t
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
$ 85.00
$ 15.00
$ 40.00
.'
$ 50.00 "
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Tempora.y Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o. 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "BIl above
,
"
New, Alte.ation or Extension Per Panel
One Circuit
Each Additional
Circuit o. with Service
or Feeder Permit
$ 35.00
"
$ 2.00
. .
. . .
not lncluded)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
. ,
$ 40.00
$ 40.00
$ 20.00
$ 36.00
W-
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