HomeMy WebLinkAboutPermit Electrical 1998-3-19 (2)
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S.GFIELD
a fol/owing p ,/
zoning and roJect as submitted
approv~,. does not require SPElCiflhas, the fol/oWl
, c and use
Zoning La. (
Data 3/~ . '
225 FIFTH STREET . l" ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974191honzed Sig 8iure_ 'f) (Vl
INSPECTION REQUEST: 726-3769 ~ Ci ty Job Number 4~'3~ t=,;
OFFICE: 726-3759 ' -
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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- - - ,
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
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 tJ,---'
Service or Feeaer $ 40.00 0/'
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 ONLYB.
Electrical Contractor ~~ ~
/ .
7~ d: -' 1.--'
Ser~ices or Feeders
Installation, Alterations
or Relocation:
(o'!-z-
Ci ty ~..J:L
Supervisor License
Address
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Phone TZrr .-(r;60
'1<(5 - oS
(Z(9g'
63):57 rsB
/z(9g
Number
Expiration Date
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Expiration Date
Signat~viSin
owners' Name~M~~ 4~./~./
Address ~~~ ~~~. ~/"':2P
Ci ty ~7~Z;> Phone '7~-e:>~
. OVNER INSTALLATION
Branch Circuits
, ,.
D.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
The installation is beiDg made on
property I own which is not intended
for sale, lease or rent.
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
Owners Signature:
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5. SUBTOTAL OF ABOVE
5%,::..State Surcharge
.j%Y.Admini~~rative Fee
""".
. TOTAL ..
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7, -
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DATE: ~.../9$S
RECEIPT.: ~~<5C
RECEIVED' BY: or. '-fjA;:!~ .,.-"