HomeMy WebLinkAboutPermit Electrical 1998-3-12
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DEVELOPMENT SERVICES DEPARTMENf
The following project 88 eubmtlled hea the. . . .
ZMlng. end doea not requlre epecIlc IGnd U8G
approval. \
lonlna ct (
225 FIFTH STREET /'; 'l
SPRINGFIELD, OREGON 974~ ~-\l..--r 0
INSPECTION REQUEST: 72~8IgnaIure '(\m
OFFICE: 726-3759
1.
J.QQTION PF: INST~~ION
t:)'\lo<~u.# - '(f\~~-J
LEGAL DESCRIPT1QN,
t'1 0 '?, ~?,~-:l, {W+() 0
~
~ J~~!ZE~ .jY)/q
per~s are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
, I!O_days. ...., ........
2. CONTRAAOR INSTALLATION ONLY
db nS~G-V Ele.dl).it,.
Electrica Contractor.
B.
:FNc.-
I r 4,:.. ~
Address I ~D )( IIt~ c.f'IIJ- 'f Ifv.e./
Ci ty ~ V ~ ~ Phone Ib<<'~ 7'1 7 ;
Supervisor License Number ~q7~~
Expiration Date I/J-J -9~
Constr Contr. Number tit. ),1!f
Expiration Date /-2-\-c,t
Si~~=7i::~~ectrician
owner~ Name ~ 1 ::!t 11 LJlJ, .funQ,L)
AddresS. j) [Q (-\cv ~4i5
Cityfjy~ Phone 744 i&;W
O~ INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DAT~~-------~=~~~-~-~---------------
RECEIPT 1I:_ &.1}Ocil C::>
RECEIVED BY: Cl'<LJ
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726,3753
FAX (541) 726,3689
ELECTRICAL PERMIT APPLICATION
City Job Number Q<6~\~
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sq.ft. or less L $ 85.00 9F)
Each additional 500
sq. ft or portion 4 Ml
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder ...$.40.00 ~ ...-....-
Services or Feeders
InstallatiOq~~terations
or Relocat~1i:p ~
<:;J ~ ~ ~
200 amps:Sf ~s:if it .i!r!>
201 ampfu~t~fi;!:. ~s....y
401 arrj1 ~ppS".l'
601 a,dil5s,::(io 9-Bi a~s
Over'~O~ ~~~~volts
Recon~ t ..'6h"
&;it(t)
Tem~~ ~rvices or Feeders
In~~t~n, Alteration or Relocation
~ ~ ~
2SOCf'tb~ or less
20~a to 400 amps
O~ 1 to 600 amps
ove~OO amps or 1000 volts
C;
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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