HomeMy WebLinkAboutPermit Electrical 1998-5-28
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The followina project b
z()fling"anddoes not~~ ~1tted..~as the following
approval. -"1 ra ope-cilia Imod use
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l_oning, '\ a.. V ~O~'t.
225 FIFTH STREET Date,~ ufJE x.~y."~~ \~~O" ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGONut9c'k<t:zJ ~Oleal.!ra . ~\~ ~~~~ R-- q cJ /. -- ?
INSPECTION REQUEST: 7~\GWt9~~~\> ~9Y.a City Job Number ,q f7:?
OFFICE: 726-3759 ,\0\ '(-.~\ ~\J~~ ~\Ja
, ';\y\\S \'~ ~~\J 'U \~ ~~~ 3. COMPLETE FEE SCHEDULE BELO'\.l
. 1. LOCATION O~ INSTAr.;LAi.~\ ~\) O~ ~
t; 0 0; e.-tP-c;C Vfj:Cj6\~G o'Y~\(). A. New Residential-Single or
V" ~ l!(00~W\':'. \)~i \ Mul t i-Family per dwelling uni t.
~-7[)1E~~O~~f~~ Service Included: Items Cost
~qB .,1)ESCRIPTION
V ffGu t[ I'J1.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. '
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION O~Y B. Services or Feeders
/J -- Installation, Alterations
Electrical Contractol-t!~: or Relocation: .
.P J1 ' V~
Address I c~ . llcJ111t1 b' 200 amps or less
/i) . /J!7!J .,/';. /' 201 amps to 400 amps
Ci ty J..: ".lJ~ Phone ~ 2'? 1-1a' 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number Over 1000 amps/volts
Reconnec t Only.
Expiration Date
Constr Contr. Number t//9/fo
Expiration Date Aj --Ii - ? 7
signat!11~:m]i:;t:~ian D.
O.mers Name 1/J1fMfl 7,{tIJ/it>>1<.
Add ress ~5 7D (;:afv j2Y/ 'i.-e_J!d.. .
Ci ty Crt ~ W~ Phone '{/'1{" ~ I /
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:6!i?fq--~--------'------------
RECEIPT #~ I r< 0 O~Cf~ .
RECEIVED BY: X. ~ lil/t Vi..--- .
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Insxallation, Alteration or Relocation
{
200 amp~'oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $80.00
Over 600 amps or 1000.volts see "B" above
Branch Circuits
"
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with S~rvice
or Feeder Permit
$ 35.00
$ 2.00
not included)
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
$
............$
/,/$
$
. In () 0
-.. ).00.,
- ;J/. J&
40.00
40.00
20.00
36.00
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