HomeMy WebLinkAboutPermit Electrical 1997-3-28
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Th~ fr"\llowing project as sU.bm:t~j~g~d~d ~~~O\
zC' 11 t,J. :md does not reqUlr.3..p
ap~ ,roval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zoninc.,....
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97477 n '3-l'1:.,c.,-,
726-3769- _'0-I-f-
Authorized Signature
3.
1. LOCATION OF INSTALLATION 1/, n....
"l"2~ 1..1 'a" ~,,)-\-re.e...-+-ui'J 1.:.Jf.n10 A.
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JOB DESCRIPTION
" l\ lJ 0iL1l CA kc1 0. yo i W+h" J "\\5 n
Permits a.e non-transferable and expire
if work is not sta.te~ within 180 days
of issuance 0. if wo.k is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor E..S-tA :LNC
Add.ess \1. \ 0 OA IC PA17.\-\
Ci ty t;u~t' nt', Phone
Supe.visor License Numbe.
RO
'-{ gS-S'S'1 \0
L.r~5 SIb
Expiration Date lo19Q
Constr Cont.. Numbe. \ 1\ Z":O\"
Expiration Date d-')-Cj~
Signature of Supervising Electrician
~"r-.::...._~d
OwneL's Name kP--'j ~ 0." Ie...
Address 17.\ \ Sw H .(...fu
Ci ty Pfi('+\e::"J Phone Sb3-7~o-lS'jB
OVNER INSTALLATION
,
The installation is being made on
prope.ty I own which is not intended
for sale, lease 0. rent.
Ovners Signature:
DATE;------------1;?i~.~-----------
RECEIPT II: ~4::~:':1' .
RECEIVED BY: ~/Th\J'IJ~
- i'-
lJM
ELECTRICAL PERMIT APPLICAT~O~
City J~b Number C\~1'f\~
COHP.LETE FEE SCHEDULE BELO~
New Residential-Single or
Hulti-Family per dwelling unit.
Se.vice Included:
Sum
.D. Se.vices or Feeders
Installation, Alterations
or Relocation:
200 amps 0. 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.
Tempora.y Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 0. 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
r
D.
B.anchCircuits
.'
New, Alte.ation 0. Extension Per Panel
One Ci.cuit
Each Additional
Ci.cuit 0. with Service
or Feeder Permit
$ 35.00
"
$ 2.00
. .
E.
Miscellaneous (Service/feeder not includ~d)
-Each installation
Pump or irrigation $
Sign/Outline Lighting---L- $
Limited Energy/Res $
Limited Energy/Comm $
<\T\d?
<1:~
C\-~ .~
. '.
40.00
40.00
20.00
36.00
SiL
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL