HomeMy WebLinkAboutPermit Electrical 1998-2-26 (4)
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SpaFIELO
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The following project OS oubmlltod hoe tho following
zoning, and cIoee not roquIro opecliIc land UOO
approval,
Zonina ~dJI
225 FIFTH STREET Dm:! /' 14 ..f(,'
SPRINGFIELD, OREGON 97'4'Ti1>r1zed SIgnature ~ Iv\
INSPECTION REQUEST: 726-3769 . \
OFFICE: 726-3759
1. ~T~ON q.E.INSTALLATION ('\L
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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.
ELECTRICAL PERMIT APPLICA~~
1,;). ty Job Numbc;r, Q. 9;(1).:..... ~
3. COMPLETE FEE SCHEDULE BELOII
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less ( $ 85.00 Bs
Each additional 500
sq. ft or portion ~ ~
thereof $ 15.00
Each Manuf'd Home. or
Modular, 'Dwelling' $ 40.00
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B. irvices or Feeders
, -;:)'1(' Cl -r- tallation, Alterations
Electrical Contractor '0, S L- f L <-I . ~o elocation:
. 11v 0'..0 ~
Address, '1(70 W,.,7 /1 ~ 00. %~ 'MIps or less $ 50.00
~ ~~ ~~~mps to 400 amps $ 60.00
City Phone {e ~ ~to, 600 amps $100.00
9 OF'. S !70 ~O~ to 1000 amps $130.00
Supervisor License Number d V >r;.. 'Qy~~J.: amps/volts $300.00
~e~n;sac !<!Only $ 40.00
Expiration Date /0 ..:.. 9 C) - ''% 11<9 %:~
I C. T~po~ryo.A>~~i~es or Feeders '
Constr Contr. Number ;). /1 S' InstaI~..d~,~teration or Relocation
OQ ~ ~ ~
Expiration Date (j- ()- f"-- / ( 200 amps'i@r, t&,s~ $ 40.00
201 amps t6'~6~;amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
~~ Superv' ing Electrician
.....~
Owners Name \: _ 0 [\
Address 00 \ ~~'7
Ci ty ~wDL · Phone J41'~11tl
O~ iJ-rALLATION'
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owner~~ignature:
-,
~E~~------d~\O~,- _ ~__--:--
RECEIPT I: . l ~l;;l b)')
RECEIVED BY: 1)0,,\ Iii
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
$ 35.00
$ 2.00
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
\\ l!S~D
~ ,1C:;
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5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL