HomeMy WebLinkAboutPermit Electrical 1996-7-10
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Tt'lc"following project as &ubmrtted has the fell
zoning, and 0099 not require opeclfic land usa
approval.
225 .FIFTH STREET M .....I\U
SPRINGFIELD, OREGOH 97477 Zonina . 12>"-
INSPECTIOH REQUEST: 726-37fl9.~ City Job Number
OFFICE: 726-3759 t'ih11
Authorized ~Ignature~:-ra!'::~, FEE SCHEDULE BELOII
1,' LOCATIOH OP INSTALLATIOH
.,Sc;, FIL!6/?!:JCT"" UJ
I ~6 2/ 05 (7-~
DO~()D
LEGAL DESCRI}''l(IOH
Jo\r.\J~1J~r
JOB DESCRIPTIOH
-r~ '~~/{"t.E
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Permits are non-transferable and exptre
if york is not started' vi thin lSO da'ys
'of issuance or if IJork is suspended fo~
'lS0 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContraCto~ L..~' Mo~.el<;; ~
Address~...
Ci ty 'bPFt?
S~e~.... .:;."ne.
I
, Phone '74-7 -0&"'1 (
. Superviso~ Licen.se Number _:< ~ol..- S
Expiration Date Jl}-I - "1)(
Constr Contr. Numbe~ 01 173 ~
Expiration Date
{,,- q- q7
Signature of Supervising Eiectrician
#~ {l~L .
,~ p\JTlers N~y>~~qh; 1t/G0cA~f"
Address5d8 /Ylcfl... ~
Ci~ </{/}~ 'Phone 7qLf-~375
> X '
01lNER rnSTALLATION
The, installation is.. being made on
property,~ oIJn,~hich is not intended
for sale, 'lease o'r ren t.
'Ovners Signatu~e:
..... .""
iiATE:7- f - 7&;
RECEIPt. ,: ()'X~ t-t,j..-: I "
RECEIVED DY: LL ' rn Nt:')1 ~d./.J
A.
NeIJ Residential-Single or
Multi-Family per dIJelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular DIJelling
Service or Feeder
B.
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
uni t.
Cost..
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40-.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00 40 o;Q.
201 amps to ,400 amps $ 55.00
Over 401 to 600 amps $'SO.OO
Over 600 amps,or 1000,volts..see "B" above
Branch Cir\~tii is
c.
NeIJ, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Puinp o,r, irriga tioh,
Sign(Outl,ihe ,Lighting'
L,fiui t.ed Ene rgy/Res
Lirrii tEid ,Ener~/Comm
" '
One Circun
,Each Additional'
, Circui,for IJith Ser,vice.
or'Fliede~Peimi t
. '
E.
5,.
SUBTOTAL OP"ABOVE
5% 'State Surcharge
,TOTfJ.. ' '
~ . . '. . "'", ". .
+ '2P.b f\Offi'\(\ B:..-e..
$ 35.00
$ 2.00
not included)
$40.00
$ 40.00
:$20.00
$,36;60
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