HomeMy WebLinkAboutPermit Electrical 1999-2-1
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The following project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
k..D t2..
"t - I
~lIzed Signature
726-3769
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3.
~LECTRICAL PERMIT APPLICATION
Ci ty Job Number qC( 6 / 2-1
COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
{6 ~{).., /.,oop . A.
LEGAL DESCRIPTION ;1103 2(P2!>CO(!ff(
~!;, 1 ()o~
.1000 Sq.ft.Ab?fless
Each additional 506
sq. f t orltpor't'ioh'I,
the reo f ;_ I "ORI7,~ ,SHALL r: $ 15.00
Each Manu f..!,o' Home:Gr/fVOt:R J(PIRt: If:.,.,
Modular1 Dwelling j. "j 'HISt:> HEWO
Service or Feeder' ,ISI'JI:1'A' $ /C4'0!:OOZS Rk
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. . . -," ' ,uOfVE, IVU,
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders D f:OR
1~~Installation, Alterations
Electrical Contractor t:.Sf IF-c.'-m,l. ~lowr;~r Relocation:
Address P'll i30lC ~ '1?"3> 200 amps or less $ 50.00
201 amps .to 400 amps $ 60.00
401 am~sAltfl" qQO amps $100.00
601 amp~:lito-rH)00\/.'!.Il]P-S_. $130.00
Over W. }f?WnffjS>l;xpl.tsl,:;'."awreqiMl~~g,
Recon!)eo It/COIiiJ.,yC~;:I~-:'uy me Cke~9fJl{Yti. ~u
.10 AA 952-001_0 r. "use rUles are t'lIly
c. TempoQq~ 'S:e.rlf~yjfuOJPt~l{~~A set forth
Ins tal]C'a~rmptlle%h1e~!l'f1iQup;g!" of~<l9cl?t~6fl.
nUmber for th er. (Note: the e rUles by
200 amps' 'orc~~W Oregon Utility ;'~\y!<(l)fu
201 amps to 400' ';[m;psOO-:'l:'l? "3 otS!;:fOOn
Over 401 to 600 amps . )80.00
Over 600 amps or 1000 volts see "B" above
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.
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Phone
6dd'-IC?Il{
"Jlj'17 .s
City f.,~c~,..,~
- I
Supervisor License Number
Expiration Date 1-0'-/ -nl
Cons t r Con t r. Number "? 0 vl?<i
Expiration Date
/)..-::1..0- f)o
Signatur of Supervising Electrician
Owners Name U I oJ '.n t. ~(rr~
Address ~ (, ~ lA I<U"\. _ L-u,tJI)
.-
City Vt2u.~1 Phone ~J-A.~7~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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Owners Signature:
:~~~~AlTT1r.~J-;v-~--~-----------~
RECEIVED BY: 711' /1//1 A /l ____
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
$ 85.00
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 -S~.OD
$ 2.00 1.()O
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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