HomeMy WebLinkAboutPermit Electrical 1997-5-23
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The following project as su.bmi\ted,~Bs the f~1I0\fl
zoning, and does not require specIfiC land U~O
approval. . ,fJ fI I
ZOnlna \. /U ELECTRICAL PERMIT APPLICATION
97477 . q7D Qf ~
726-~fN;}.P 'd:' -t17 ^ ci ty Job Nwnber_ ). W
Authorized Signature 11M,
J. 'COMPLETE FEE SCHEDULE BELOV
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
/77 0 :5f
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,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,
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: '
Sum
, Items Cos t
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
J/,
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSonitrol Security or Relocation:
Address P.O. Box 21009
Ci ty EUllene
Phone 461-5678
Supervisor License Number fIoW;(ET
Expiration Date
1{J-/':"Q9
Constr Contr, Number 65149
Expiration Date 7-2000
Signature of Supervising Electrician
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Owners Name Zmerald ZdAA ~f;"
Address &m~
Ci ty Phone 343 -~;J 74
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #: O)~20
RECEIVED BY:, ::e - f!t1.L!''''_
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
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
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':?0OV
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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