HomeMy WebLinkAboutPermit Electrical 1997-7-16
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SPRINGFIELD
The following proiflct 8G submittrd h"',~ th':! foll;~\'
zoning, and dOGS rt.../l fvquiro spf.clftc h.;nd Ut>O
225 FIF'TIl STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOnir\9.J..cLr
INSPECTION REQUEST: 726-JJft'7-1t A :'u-, City Job Number~/L /2
OFFICE: 726-3759 - _.-0"- ,
/'7'/ 7i'~ ;:f'?;AuthOrizeC Slgnalura_&mOMflJITlLF.EE SCHEDULE BELOY
1. LOCATIO~ OF INSTALLATION
r~~~~~~._c;.,~.ae. A. Nev Residential-Single or
1?--.o:2~' ~L~::J6=> I' · Mul t i-Family per dvelling uni t.
b_LE'GAL pF,:>CJ.q:1f.fI~)N I) _ Service Included:
Pt::~- ~~'-t- Or- (,o~ . Items Cost Sum
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started 'vithin 180 days
of issuance or if.vork is suspenaed for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
2..' CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. Installation, Alterations
Electrical contractor~~~AL--~~r Relocation:
Address2'6'l\ IN, t;T\"-S'C 200 amps or less
201 amps to 400 amps
Phone~~ 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number ~ .J.\D ~\ . Over 1000 amps/volts
Reconnect Only
- 0;;,. -
Ci ty tc:.J ,-
Expiration Date
l()- \-AC\
Constr Contr. Number f..D'&65la
Expiration Date 'S..qQ
Signature of Supervising Electrician
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Ovners Name~ . ~~. ~
Address-, --::<77 ~/!!: ~*?.?"'.
Ci ty ?}2C'<,C2 ~ Phon -?y? -::>'///
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OIlNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
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Ovners Signature:
DATE: 7-/d;?'3?
RECF.Il'T j1: -.:26.c~&>
RECEIVED BY: ~_ '
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$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 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 volts
Branch Circuits
$ 40.00.
$ 55.00' "
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
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E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy/Comm ..- $ 36.00 ~.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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