HomeMy WebLinkAboutPermit Electrical 1997-9-25
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AUTHORIZED UNDER THIS PERMIT IS N
COM~ENCED OR IS ABANDONED FOR
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225 FIFTH STREET ' prov&. .. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning w'Y
~~~i~~IO~2~~~~T: 726-6~~'Q~,- ~7 7
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Authorized Signature I1l"'1 COMPLETE FEE SCHEDULE BELOiI
1. LOCATION OF/INSTALLATION I
'~1."'1 1 f)^,A-".~ . A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
r*lt/t":f.5.jTIiw 2-00
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.
City Job
Numberq 7/3 -5 &;
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
$ 85.00
$ 15.00
S 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. Installation, Alterations
Electrical Contractor J(S fIELlElr~~,.sJ./;;;;Lor Relocation:
Address (P- 0. f?oo ::lV'r;;3.J 200 amps or less
201 amps to 400 amps
Ci ty 1'.u... ~ Phone 6y6 '0;LJ( 401 amps to 600 amps
/ 601 amps to 1000 amps
Supervisor License Number ~Vq7 S Over 1000 amps/volts
Reconnect Only
Expiration Date 10 -I -4';;>
Constr Contr. Number Jo6',pq
Expira tion Da te (;;1.. -;n - <) 7
Signature of Supervising Electrician
c(n.. '-' JJ~
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Owners 'Name-.tl~t=otZ(\ :Jo~
Add ress ~ 07'1 (?t.~A-"",*
'Ci ty -if""'"1t . ,) Phone 7r..t L -)) 89,
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
.
DATE~-------~~~~-ll1~-------~--
RECEIPT j/:. /).1.. /'>( y:)
RECEIVED BY: ~. vn /,,-
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$ 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 S 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" abOve
D.
Branch Circuits
o'
New. Alteration or Extension Per Panel
-L
35-00
S 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting . $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 7,~ .00
5% State Surcharge
3%'Administrative Fee
TOTAL :5 7. ~ ( )