HomeMy WebLinkAboutPermit Electrical 1997-3-20
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225 FIFTH STREET Zoning_~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477Dal"~2.0_ Cfl -
INSPECTION REQUEST: 726-1ftR9 City Job Numb<rr~/6'Bb"
OFFICE: 726-3759 orizeo81enaluro-AlA/l
3: CUIIPw:.rL-f'EE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
1?,.o3-~./""Y~. ~?~3
,
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
JOB D~S PTION./. ~
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~ 'i:::"t!?" ~;..-?';F~ ,//,C;;'~/-.i-S-
~~ e non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~fl\~tJ\~::::J'l n~
Address~~ 0H\~\ \\1Dd .
City ~ "G~ Phone :1\?:U2Ql]
Supervisor \:license Number ~{)~
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Constr Contr. Number \\Il~
S'~'9?
Expiration Date
Expiration Date
Signature of Supervising Electrician
ad~~d .
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ovner0ame/~ ~/~
Address /tC'J yo /?-/X"'/f/:fr:- ~
'City~~~ Phone ~-.t1543'
OIlNER INSZ~~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
9'~~:;:>
-:< Y9$"-/
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 40.00
$ 85.00
'$ 15.00
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
$ 50.00 ~."'.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less I $ 40.00 ~~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
Branch Circuits
New, Altel:ation or Extension Per Panel
One Circuit
Each Additional
Circui t or vi th Servi".,~c../
or Feeder Permi t -+-2 $
$ 35.00
2.00
.Ji.~
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
5. SUBTOTAL OF ABOVE Q28.--
5% State Surcharge -:::11. <;..'.0
3% Administrative Fee I~'jz.~
TOTAL ~;Z .2'~