HomeMy WebLinkAboutPermit Electrical 1998-5-29 (2)
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SP.GFIELD
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The following projeclll8 eubmlllod hes I . ow,"
zoning. and does no! require epecnlc land .JG.
approvd
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225 FIFTH STREET 081"'~ - E~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974Ai' : 1~ -"'\> 'l"\ "'^" ,.\0'<'. q .
INSPECTION REQUEST: 726~:r769' ~\~(\~ \'O~ Job Number <{ 6lol./L(
OFFICE: 726-3759 ~~\~ G~~~
#f'XCtf;:. 'Oy..~\..\.. € -(,,~'f.> ~'eO~~ FEE SCIlEDULE DELOII
1. LOCATION OF INSTAL~!'~~ Al.<i)Y:.~ nO~
J9.!,'7 5b 14 ST ~F ",,,-9^l'" S~~"New Residential-Single or
~ \" '0(0.0<(0.\1/ O~~ Multi-Family per dwelling unit.
IJ;liAL DESCRIPUON qK ~~'Vy:'<i) y:'~\O<i). Service Included:
l . 10 ~ '2,{S LO"7 & (@W\ ,,'l.i..~ Items
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JOB DESCRIPTION, ~,,\-{
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto~R/k /tJ...LL;,c/
Address 3?33/? /00.LLU/~.t) /?cfJ.
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Ci ty cY<';<;wg~
Phone !f''75 --36;:' ""
Supervisor License Number ~2..:2... 8- So
Exp;.rati<Jn Date 10 /01 / 9!jY
Constr Contr. Number {2? '/7
Expiration Date //,1 0 ( / 9f'"
Signature of Supervising Electrician
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Owner~ Name f0, s.tZ A""",..,
D.
t-u.......hA, 6
Address 2Yo 9
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/t4-'9-E";
5/
Ci tJ"'M... _..j]-p~ Phone 741L' ~ N 1/
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OIINER INS.fA?ct:?i:ON j)d..v,l/'# t<J ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~;;",:;;;zo-!~~~~~;:----------
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
~~ or Relocation:
200 amps or less
201 amps to 400 amps
q01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
-1l1....
$ 85.00
'lSDb
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not iricluded)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
'{.::; IJ ()
tJ- ./. .........
C11:Y?7
40.00
40.00
20.00
36.00