HomeMy WebLinkAboutPermit Electrical 1998-1-13
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S.GFIELD
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zoning, and does not ~eq' I ad haS the following
approval. u F9 specific land use
Zoning 'I rLV
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Dat~
225 FIFTH STREET Author! Qd S {) 1M'
SPRINGFIELD, OREGON 974'1 ~natuF9--tJ-fV\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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ELECTRICAL PERKIT APPLICATION
'City Job Number 99a-?.y~
3. COMPLETE FEE SCHEDULE BELOV
1.. LOCATIO,ll O~ INSTALLATION
c;-?~~ - '1 lo,f'2:..J ~..:;-s-
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-LEGAL DESCRIPTION
170 ';2. ~ 3 ,,/)- () 1500
JOB Df:SCRIPTION
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A.
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of'issuance or if wotk is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
I
"
,B. Serv~ces or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor J ~J1~<; L:u4-.
-, ,
Address 'J (,.?t/ ~ tf-".,y ;;:. C,;, #,62..
'"
City I"L,o&,~I~ Phone 5J)-~/) ~
Supervisor License Number .l11DT", <1 ~<t
Exp'iration Date
Cons t r Con t r. Number 10 '-152. :3
Expiration Date 2/1f?-
, (
Sign re of SU~iSing Ele trician
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V, '-~
Owners Name~, ~h!-.er Ls
Address 77--~g H-wy ~q N
ci ty ~l~~-<' . rr<2-. Phone ~ '7i./b'?
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OVNER INSTALLATION
C.
D.
The installation is being made on E.
property I own whi6h is not intended
for sale, lease or rent.
, s Signature' ~
/ //?~.-, I-~ L~sl-.
'_____________________~-------------- 5.
DATE: /'"'/=3'~
RECEIPT 'I: ,<~"'2
RECEIVED 'BY: ,~
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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
Sum
$ 85.00
..
$ 15.00
$ 40.00 ~
$ 50.00
$ 60.00
$100.0Q
$130.00
$300.00
$ 40.00
Temporary'Services or Feeders
Installation, Alteration or Relocation
200 amps"oT 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
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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