HomeMy WebLinkAboutPermit Electrical 1996-8-15 (2)
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The following project as ou m .
zoning, and doe. not require epecnio land uae
approval.
Zonina L hVl _
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97477,Ulhorlzed Signelure
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. LOCA;{ION OF INSTALLATION
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LEGAL DESCRIPTION
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.JOB DESCRIPTION /
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor.c...~c: 8fu>l\t;\1i.' \~,
Address p.(). furl. 1J.!.2~ .
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Cit Phone.1!lJ -:J..13 10
Supervisor L cense Number -1l-.5/ h S
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Constr Contr. Number O::l5U4-Q
q-I-qlo
Expiration Date
Expiration Date
Signature of Supervising Electrician
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Owners Name-&.\rt ..,j~_,+YY\nruJ p~ .
Address In33 ~IL (J'
City~' "~Phone 11ft".:. '-tsq I
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mINER I . 'ALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:. 15-/0/.%
RECEIPT #: <::::?~~
RECEiVED BY:"" __ __:.. .
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ELECTRICAL PERMIT APPLICATION
City Job Number~/C:::>9C;-
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dyelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. Dyelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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 voits
$ 40.00
$ 55.00
$ 80.00
see nB" above
Branch Circuits
."
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 .'1:).00
$ 2.00 :1.00
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
5. SUBTOTAL OF ABOVE 3'1.00
5% State Surcharge \.9,,'5
3% Administrative Fee J. J I
TOTAL ..-a9. <\ b