HomeMy WebLinkAboutPermit Electrical 1974-12-9
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The following project as . b
zoning, and does not reqS~remslttped'f':Jas" the fol/owin
approval. eel IC and Use' ,
ZoninCl (tV ELECTRICAL PERMIT APPLICATION
97477
72fJ~1.69 11-7~V- City Job Number 9 Y /9c::>-c:>
Authorized Signature ! )~. COMPLETE FEE SCHEDULE BELOV
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF IN:;TALLATION
,C:;; L/ Q <f) 't ,
LEGAL DESCRIPTION
//"'V!J3~-2~ ~,~ ~
JOB DESC~PTION 'I
<;Mvi'CR_ / (' iV(AA I ~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspefided for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contrac~~fo.c.1
AddFessdC\0~
Ci~yfQq'~m_<k Phone~~.m~a
Supervisor ~cense Number ~ct~ ~
\(). \ .05-
Constr Contr. Number (r;\'2..~ lo
\~.\D.Q4
Expiration Date
Expiration Date
Sign>>>>" ~ SUP"i~l:ctdcian
eJ;/~~ ~~~,;(f-.
~ . D.
Owners Name4~ ~~
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: /:< -'?-*'7 Y
RE~EIPT #: > 1"52'2(3:.
RECEIVED BY: ./"l' A2: ~ -v
-1-
A.
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 / $ 50.00 5'f),()O
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit. or.with Servic~,
or Feeder Permit ~
$ 35.00
$
2.00 fD. (J(J
~
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump ~r irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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