HomeMy WebLinkAboutPermit Electrical 1998-3-2
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Date~qi , ~O~Y-. . -
225 FIFTH STREET Authorized Signature .r1 YY1 . ,~~~IT APPLICATION
SPRINGFIELD, OREGON 974 77 t1f\C~' ~\.. 'i;.'f...'< 'i;.~~~ QS.
INSPECTION REQUEST: 726-3769 ~O\ ~~\~ <o~~ ~~~~Pt?y ~eb~ber / ( 0/7 Y
OFFICE: 726-3759 ~<O?€ \)~~U\-d'r~~\)O '
~~ r\~O~\lY::\) 'QW~J.D FEE SCHEDULE BELOV
1. ~O~ATIO~..=pF INSTALLA. TION ~IJ ~.\J,\) \()\).
'rS t 2- f.:} f5.LTLI/-Je ".()~W\€A. !\~~~Residential-Single or
- ~'-{ \'&\} \): Multi-Family per di:7elling uni t.
~~. Service Included:
Items
I" ,.
" LJ
LEGAL, DE~qQ:PTION I r. 0
I 70 < J" ()OD J-yO
JOB DESCRIPTION
T e NIT,A...J! .:...t- j4/7?f-<. 2> V'f_j~--? e~
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
ModularD~elling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor-.:r:JvFf/Vrn: Ec..cct,f'l<", or Relocation:
Addres~33;;2=< Nc,~suA..J ~.o,.
Ci tyjJ~USd ~(t"'/.e Phone 563-.;20 '1 ~SJ 3
IA/ f1 ..
Supervisor License Number :2&R'),. r1
Expiration Date 16/Q$'
Constr Contr. Number 37-(O(P'T--c.
Expiration Date jtJ II/fit?
/ /
Signature of Supervising Electrician
tfJ- ~~.
O~" Name SU_(lfi/jr\ ~. ('Ocr.
Address 3L/n1! &M{J 0~{J
Ci ty cyrf hZ&' d t1 Phonei!;Llr.z - '1L/L{ tf
OVNER I STALLATION
The installation is being made on
property I o~n. ~hich is not intended
for sale, lease or rent.
Owners Signature: .
~~~::-:~~~~~-----~----------~
RECEIVED BY:- LA ( ~ VL--
200 amps or less /
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/vol ts .
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
5 c)0
$ 50.00 D-
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps .to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm.
One Circuit
Each Additional
Circuitor~ith Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
/0 _ow
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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