HomeMy WebLinkAboutPermit Electrical 1999-4-23
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The fOllowing project as submittad has the fallowing
zoning. and does not require specific land use
approval.
Zoning
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Lr-> 12-
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97 f/?'r
7a6th3r7iell Signature
1. LOCATION OF,INSTALLATION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
The installation is being made on E.
property I ovn vhi~h is not intended
for sale, lease or rent.
Ovners Signature:
DATE~---------------~:~-~~---:-, 5.
RECEIPT jI: \ _ ~ - Ij 0\ ~ 14-
RECEIVED BY: Q ,,\;~XI_) U W'--'
ELECTRICAL PERMIT .N:?ifCATION
r,ty Job Number lJ\~~~\~
3. COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dyelling unit.
Service Included:
A.
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
Items Cost
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. Installation, Alterations
Electrical contracto{)~M&"',PJQcli;{. or Relocation:
Address ~~~ 0 ll). 61~ ' 200 amps or less
t? ~~ 'JfYl1&, 201 amps to 400 amps
Ci ty l fe;.urell Phone. __.r::BI7Ik//.::Jv"Ore 401 amps to 600 amps
;,:p&)":.IO!~rq(jO/)~ POI1~). amps to 1000 amps
Supervisor License Number ~Il~ Cel1ter ;?b.J8\y'~1i991\lOO amps/volts
I J ca,,' OIJ~ -00' 'f]D$~f!It~~-t'YBOlY
Expiration Date 10 I 00 I1lff:ly;l1gtho ClyOJ)~ ~Othro rlJ/es POI1Ut;.'O .
I _OOI;v~rfo -<'"6I1'e allQ;.o ~Sl?~e s(Y'pvices or Feeders
Cons t r Con t r. Numbe r (QUL() ,~(',\rtl1e 0" r. (lVollf181(jfa/!fiitifnrSh Al tera t i on or Reloca t i on
I 'fer; ego e.' tll 'he -001
Expiration Date I \~qC\ Sl'800~Utl"~' V~~~"6)tiess $ 40.00
~.? t.t(1'!D'-Pet;o 400 amps $ 55.00
_ S~' ure of Su~ervising Electrician 'l,'?f1oft.o 600 amps $ 80.00
'~ Over 600 amps or 1000 volts see "B" above
'-" ~ 1. ~ D Branch Circuits
Ovne ame '1 ~\ ~\Q~ ~ . "
-::J~{)3 ~\Lo ~ ~ New, Alteration or Extension Per Panel
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~STALLATION
S 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 35.00 ,,z5,oo
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ /,0.00
$ 20,00
$ 36.00
~5.00
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