HomeMy WebLinkAboutPermit Electrical 1998-1-6
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S.ttGFIELD
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T~e. fol/owing proj3ct c.s nubmitt:d h~"') t:. f II ,,:
ZOning, and does not r~qulre cp'-- '0 I '. ..0 :0.I,n3
approval. ..",I.. I_I....~....J
Zoning Uti'
225 FIFTH STREET Oato 1-(0- --1<(
SPRINGFIELD, OREGON 974'z.7,rtzedSlgnature -h YV\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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ELECTRICAL PERMIT, APPLICATIOJir
~~ ty Job N~ber . (V\ \11~0
3. COMPLETE FEE SCHEDULE BELOI/
1. ~~~ ~i\lP~^:~6\L~ . A.
\~~ D,J:jSCRIPTION '1fVV\ _ ~ .
~ \().:J 1~/),,3 r}/pJ.l./' '
_~~~m~WNL-- ?-At~
~er~s are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days... III
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2. COKn<ACTOR INSTALLATI" $.." .. S".io"., F..d."
fR, Installation, Alterations
Electrical Contractor-T_g~U ~''4fiJf; or Relocation:
Address..!::tO(, S Lv: / W?'lvIl!tvl'fBOrvDE& '1>X,:'%ts:mws or less
/' ~ 1Q..1l ~~. 'ri,Sp>>J.. ,atnpWGt9.. 400 amps
City 'Tue. P'lone_c'~~~.e- f/JANDIi!!l~Iiir,Wt.,-t'8, 600 amps
, o. 'D "''1;(1 2JI!~s"a;.; 1000 amps
Supervisor License Number :3~? ~...s.' Over 'f600 amps/volts
I. 1 Reconnec t Only
Expiration Date 10 11'11>'
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IO'l1~
~1iYP-9'
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
<65
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1000 sq.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dvelling'
Service or Feeder
$ 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
C.
Constr Contr. Number
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Expir
t:~~cian ~
Owners N e cN\m.~
Address Q\o.o lb\V\. f2-,/
City f~ Phone~
O\INER ~STALLATION
volts
Branch Circuits
D.
"
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 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/Camm $ 36.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~$ignature:
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--Lf.o .O(J
K,aQ
l:I.fS~
In.1?1\
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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RECEIVED BY:_;<:)vJ