HomeMy WebLinkAboutPermit Electrical 1997-2-11
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The following pro;ect ~'" <> b "
Zoning, and doesJ not ~;q"'~f.:~':~)~~;;) ~.i~~ 'foiIov.rin;
approval. . Vl~''''''",'I','J 'c;~ fn 1.5::-0
225 FIFTH STREET . (1 /) , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974ij'ning ","--/ q rI
INSPECTION REQUESTPate726-3762--II-f1 ' Ci ty Job Number ! JJ /2 Lf '(
OFFICE: 726-3759 ~ ~
, ,Authorized SigiVJil.ure_bJ.rV\ 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
/'07 4'~ I> ~ s;./.?~( A. New Residen tial-Singleor
Multi-Family per dwelling unit.
4E~~ rn;:~gu:PTION Service Included:
/ I (J"':) cJ.lO ~~ dCJl I () 0 I terns Cos t Sum
JOB DESCRIPTION
6b . .
.,e. i// ~//'i/'7q
- . a
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor "i/lo/{';(jfl:;JU er~7;Pi;'
E(!'/ /j ~ _ _
Address /-0. gtQJc ~
CitY'y~4.
"
Phone 753 -t:C>~7
Supervisor License Number 35> /7 .s
Expiration Date. if9 - /' 9~
Constr Contr. Number 'I-'~
Expiration Date /e)- t-pV
Signature of.. su,perZiS in, Electrician
/7 L~/ , _)
~vC~ ;M-"
---, t7 71 D.
Owners Name~t/$ //o~~4f)E
Address /:8"/ '3 PPc--
, . .
Ci ty ~~ _~;;one ~~4-/f5 Z1 r
OVNER INSTALLATION
The installation is being m~de on E.
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: ::z ....//- 9/
RECEIPT #: ~'/~, 7'*:3-
RECEIVED BY: . ~~""".IS- b
,r '
...
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
~odularDwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 85.00
$ 15.00
$ 40.00
-::f $ 50.00 /~~ r-
$ 60.00
I $100.00 /00-
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less 1
201 amps to 400 amps
Over 40~ to 600 amps
Over 600 amps or 1000 volts
$ 40.00
.$ 55.00
$ 80.00
see "B"
L-/c
,
Branch Circuits
above
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t , ~ $ 2.00 67"'--'
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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