HomeMy WebLinkAboutPermit Electrical 1998-11-16
Tr . '"Illowing .
le', "09, -'nd d:J;: ~ed hrIe the
approval. 8pedfic land U80
Zoning ~ C.
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
o.'s /1-/(,-
9747Authodzed S' .
726-376'1 Igna!uro_
1. LOCATION OF IN~'tALLA.'U~N .-.<l
/:;"70 S. A' 5-+.;A I Of(
v
LEGAL DESCRIPTIO~
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. JO~ .~~<;:RTr:p:<w . I A /J . -'J.-'.
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
1<:10
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number qrx I if 2. 1
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Cost
Sum
NonCE:
Tb9RQ,,"s~.! t. or less $ 85.00
Ea'cli "'IiM i 6i-1in.~k~g
AUsq'0FW~19DfIJlJl:l1tion E IFTHE WORK
cnl},?...~t;,~,9 f THIS PEBMlLLS Nb-t5. 00
Eacli.'Ml'n'ilC'rCII~Ij~B6 .
AN\M/fd.U[~!\'r'p?:we))}ng NED FOR .
Service of1'Peeder . $ 40.00
2{'2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorAl/.lmulriT u&.r5/r,tdE/alr,'l!..r Relocation:
Address PI1 &x 953
Ci ty ~r:N;} c"IJ Phone '7 2/,,- ~2.z.
Supervisnr License Number /10775'
Expiration Date /0/01/01
Constr Contr. Number 2-0- ~;lqL'.
Expiration Date
/{')_I - C1Q
Signature of Supervising Electrician
,1t1/J.k? (;f/r~- .,
:::::,:;ifb"'c;.1ft~;;;? D.
Cit~S{)YI-r:ti; tfq_Phone l1Jp--!11'
~~ IN ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------iIJfj~-rt?~-------------
RECEIPT II: '1J,s/J./.~ <tJ
RECEIVED BY: -71-"Pl~ .
200 i~.~ l~As $ 50.00
201 S""t'oOtm'e'r I"", ,,,......ir~ Y6\!)I,I90
401 Ig ~ rltI8S~p~~ 'fl" u,..g$lJ.btIiJi()JJ
60tJqtifii;gtiql) C_~aa;;~e rUles ar$lOO lilMlh
ovifrOiffiJI)5:anl~s.,o,QJIlrtbrougn UAFSBOO-OO6-
Re~1{Cluonawobtain copies 01 thlJ ru~
calling the center, (Note: the telephone
Tempmmllf(Yr 1Sl'!1OO.\9~<SlfuflflwNlilification
Installat~@n~r~~t~~2S44f.elocation
C.
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 uB" above
Nev, Alteration or Extension Per Panel
"
One Circuit I
Each Additional
Circuit or vith Service1
or Feeder Permi t eX
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
$ 35.00 '?A~
$ 2.00 L./
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
?/i ~
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