HomeMy WebLinkAboutPermit Electrical 1998-10-8
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The following project 88 eubmmed has tho
zoning, and cloe8 not requ\nl specific land use
approllal,
Zonl~ \ Ii \I
225 FIFTH STREET I" ./
SPRINGFIELD, OREGON 97477 Dale] 0 D q'6
INSPECTION REQUEST: 726-376a..:. LJSlgnature
OFFICE: 726-3759
nQ{o< ~r}~
ELECTRICAL PERMIT APPLICATION
({80G O<t.
Y'~ Ci ty Job Number
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION)l.f INSTALLATION
/0 2-1'; rYlA I /t/4! f J\!n?__ A. New Residential-Single or
'. '\'1::: Mul t i-Family per dwelling uni to
LJ:;G~ DESCRIPTION THIS PtRMIT . Service Included:
i 1 tJ 'J 2..(,/..{ I 017 Y"V AII"'ur-,_ SHALL E" Items Cos t Sum
'vr"~EO U "PIRt If:
JOB DESCRIPT;rON COMMtNCED NOtR THIS ploarJfESWrf&. or less $ 85.00
Y C-fI-UI.4,t( 4'\1\',0' _ OR/~A8A E&~TR<llf{'t".ional 500
"'IJ,'y PFp.n . NOONlifl' 't't'vQr portion
Permi ts are non-transferable and expi're'J 1'Kff,lrof $ 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular .Dwelling
180 days, Ser~ice or Feeder .$ 40.00
B. Services or Feeders
Installation, Alterations
.ATTENTlOI<!'O Relocation:
lVI/OW rules . regon law fa .
NotificatiDn C aq8et~t~Y:r~~ you to
III uAR 952_0~'1Wr. ~ Me ~'h~\yity
0090. You ma 14'?fl1,CAtntPeu!Mot,m ~PBrt"
calling th y SgQ:ural/lll~i.el~~~~-
nU"1ber fo:t~eO~N6lfi.Uth~ri p~" -ql1lll~~."
elQregl!R'!5t~, 0 q'rPhone
Center is 1-800-3 /It)i Notification
C_ Temporaq~2S~~ices or Feeders
Installation, Alteration or Relocation
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City Phone
Supervisor Licenie Number
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Expiration Date ~~
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
Owners Name t.41'l..t.'1 /lJg6i4 /hv..IItNJ
Address (0 '2. ~ 'd lA, /V,f( f
Ci ty SiJlLfrr (',/:"// Phone 71('7~ Iff 1
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OIlNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent,
Ovners Signature:
JJ~_ ~~)
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DATE: {rJ ~/5"
RECEIPT #:. 0 $1;; ~ I..f 4
RECEIVED BY: pJ tutM.K'
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "BIl above
New, Alteration or Extension Per Panel
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One Circuit I $ 35.00 '3s'"
Each Additional
Circuit or with Service 2;-
or Feeder Permit / $ 2.00
E.
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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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