HomeMy WebLinkAboutPermit Electrical 1998-1-14
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approval. ,
Zonino ' ! \ a.v NOTIC!:
Date :/ _ I 4.-0.g , THIS ptRMIT SHALL EXPIRE IF THE WORK
Authorized Signature f\ ()I\ f\UTHOR1Z~D UNDER THIS PERMIT IS NOT
225 FIFTH 51K.t.t.i 97477 COtxUM:NCEO OR IS ABANOON~~CAL
SPRINGFIELD, OREGON
INSPECTION REQUEST: 726-3769t\NV U';:'H V ~tP!()O.
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor AAI9~ /A/'C-.
Address P ~O - /f () 'K.- ' '1- 6" 6' .
C i t y ;}?,41 / k A. Ph 0 n e 9' J {:- tJ 0 ? - Z-
Supervisor License Number 5' -' I ]
Expiration Date /0 - / - '1 r
ConstrContr. Numbel' /L/Ti-fJ
Expiration Date
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Signature of Supervising Electrician
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OVNER INSTALLATION
The installation is b~ing made on
property I own. which is not intended
for sale, lease. or rent.
Ovners Signature:
~~~~~----j-7-iY~~~------------------~
RECEIPT #:' V)5-(, l(J.pq
RECEIVED BY: '-1-.' }i/1~ ,
PERMIT APPLICATION
City Job Number
OJ <:{ OOSV
3. COMPLETE FEE SCHEDULE BELO~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~A.
rp~'
C.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps,
Over 401 to 600 amps
Qver 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /'
$ 35.00
$ 2 . 00 ;z, ~"
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
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5. SUBTOTAL OF ABOVE ~-Z ~
5% Sta te Surcharge 'j. lUO
3% Administrative Fee ~I-",l;
TOTAL ~/b