HomeMy WebLinkAboutPermit Electrical 1998-7-15 (2)
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DEVELOPMENT SERVICES DEPARTM!N'fO~eJ.\ ..If
ZonlnP (l.. SPRINGFIELD, OR 97477
'C'yOf{, (541) 726-3753
NOTle~;J-I, (\ yY\ FAX (541) 726-3689
225 FIFTH STREET THIS P~~S 8lgn8IUft'. "'...,"uu"...... PERMIT APPLICATION8(
SPRINGFIELD, OREGON 97477' HALL EXPIRE IFTHE WORK (] cV1-\ / I
INSPECTION REQUEST: 72~MR/ZED UNDER THIS PERMIT IS R,bV Job Number ~\ 7\ ( J-r
OFFICE: 726-3759 COMMENCED OR IS ABA/jDOruw,~~" FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA'lffOrea D~'I PERIOD
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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 ONLY B.
Electrical Contractor.0. tS ~ ~~6i:tU(\ ';~.
Address P. f). ~~. /LJ- 81-
CitY~PIUm.d~ Phone.1..41-:J.1,3b
Supervisor LIcense Number ---1.I::....8..h~
Expiration Date IO-I-q'g
Constr Contr. Number .12AQ
Expiration Date .~ -)-q'l?
~~~ ElectriCian.
Owners Name~l~ PmJ.!\) Qnllrt.lIn\\L D.
Address~ll\-l~
Ci ty~m.(\~ a ~ ~Phone
OVNER IN2TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
.._.$ .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 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 :35'.00
$ 2.00
'-.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
Owners Signature:
-------------------0/------------------
DATE: 7 - L~- q)'v
RECEIPT lt~)~() F/Y .
RECEIVED BY: h. tY1W k~/J_=
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~'1. 00
I. ~p
1.11
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