HomeMy WebLinkAboutPermit Electrical 1998-5-28
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225 FrITH STREET ~onl C ('
SPRINGFIELD, OREGON 97471J,tt<>
INSPECTION REQUEST: 726-376
OFFICE: 726-3759 AuthorizedSlgnatu", \'\ "'^
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1. LOqTiO!'l O~ INSTALLATION
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LEGAL DESCRIPTION
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,lOB DESCRIPTION .
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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.
ELECTRICAL PERMIT APPLICATION
City Job Number qy; b Y ( Y
COMPLETE F~E SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son it ro I Secur i ty or Relocation:
200 amps or less
201 amps to 400 amps
Phoo~ -5678 ~QJ.~ to 600 amps
~01\vt;;., E)l.I'IRE II" lm'1 a[l\R~ to 1000 amps
Supervisor License Num~h s-r.-:c'h\i S\-l~LL S I'Ef(\lM'US!'\'l{fO amps/vol ts
1\-\1 - ED IJNDE\-I 11-11 ~'O~ec t Only
.\ 1\I-IORI1: , G-I\Bf>..I'IOOI'l .
AN.AMEI'lCEU Vf\ \ C. Temporary Services or Feeders
Constr Contr. Number 65~'......"oe.B\QO, Installation, Alteration or Relocation
AN'{ YOV ,,; .
6-:18':'00
Address P.O. Box 21009
Ci ty Euuene
Expiration Date
Expiration Date
Signature of Supervising Electrician
_':?~4~L_ .
Ovners Name (n.S\f) \ F~
Address;Y;)() N. A 'f')\ .
City~~ I rvf1..o-~~hon;-]L.jln-Ldo39
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OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
Ovners Signature:
~~T~~-----~:~~---~-~------------------
RECEIPT 11: _ 1J11'U"5L1-
RECEIVED BY: c!<A.AJ 1
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 100u
D,
Branch Circuits
$ 50,00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "BI! above
Nev, Alteration or Ext~nsion Per, Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2,00
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 .~~.CX)
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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