HomeMy WebLinkAboutPermit Electrical 1996-3-12
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Thf: fo!lowing project as sub, nitte<jJ, t,laS the foil
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approval. ' I
225 FIFTfl STREET z' c t~ I ELECTRICAL PERMIT APPLICATION
SPRINGfIELD, OREGON 97477 Onlno Ii' CjJfff}{)/./?-...'
INSPECTION REQutST: '726-316:93~r?J" ClLp ~I ,C i, tY,J,Ob Numberftll/7 vI, )
OFFICE: 726-3759 '
Authorized Slgnatu"'---3 'U: J...t.ii.'J.' J:.L ;>CHEDULE BELO\1
T ,
~.. r LOCA,1);ON OF ~STALLA1'IOi j I
JQjfJ!j W/1J CUif6JAl/t11a A lie.... Residential-Single or
. :- , I l1ulti-Family per duel,ling unit.
~GAL DESCRIPTION ~ervice Included:
r lo3?.7t.1 '0b59;nn Items Cost
, -
JOB DESGRfPTION I
Q (J)YO /}'16 +Thr t.17fY(~
Permits are non-transferable and expire
if TJork is not started 'vithin180 days
of issuance or if-vork is suspen~ed for
180 days.
2 ~.' CON'l'RACTOR INSTALLATION ONLY B
, Elec;rical Contractor P; 'l\l6 kI~ I
_ fJ Add ress I
1c~i.tY Phone
,Supervisor License Number ~ l. I q S
:;:l.. ,--'
lolC1(p'
:20 - \l'1.. c..
, -,Expiration Date
'ConstrContr. Number
~ .-.:-
",-:~#.~Piration Date 'n .fqe,'
f.\ol.
,;;!l""ture ~f~" ~:n; ~lect~ician
'co" C--\f
'\., ". rp~~ t'l~t .
Ovners Nate ',DrA/V\ en I Lf Yl ~ , '-PS
Address :2?-f)() t\)f)YILPAIV-/I\e/417
City~.-/ Phone eH3-Jgq7
( ) Gt7L{() I
OYNE~,rNSTAL~t.fON
)
the installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~
Ovoers Signature:
------------------ ~---------~
DATE: 'fS//Z, p~ '
RECRr'l'T II:' r 2..'2. ~ 3 B /7 .~
RE:CEIVEO BY: 4/ ;'
, JOOO sq.ft. or less
, "Eac.h addi t i onal 500
sq. ft or portion
thereof
~ach Hanuf/d Home or
Modular Dvel1ing
Service or Feeder
Services or Feeders
]nstallation, Alterations
dr Relocation: -
,~oo amps or less
201 amps to 400 amps
~01 amps to 600 amps
~Ol amps to 1000 amps
ever 1000amps/volts
Feconnec.t Only
Sum
$ 85.00
$ 15.00
S 40.00
S 50.00
'$ 60.00
S100.00
5130.00
$300.00
$ 40.00
1emporary Services or Feeders
1nstallation, Alteration or Relocation
c,
I
!
'I
.'1
Ii
Dj:
I
200 amps or less
201 amps to 400 amps
qver 401 to 600 amps
'(iver 600 amps or 1000 volts
J?;ranch Circuits
fi eTJ, Al tera tion
I '
dne Circuit
Each Additional
Circuit or with Service
or ,Feeder Permi t
S itO.OO,
S 55. 00" ,.
S 80.00
see t'BU above
04 Extension Per Panel
$ 35.00 35~
El
I
';(
$
"1qs;
2 . 00 0(
Miscellaneous (Service/feeder
-Each installation
fump or irrigation
Sign/Outline Lighting
~imited Energy/Res
Uimited Energy/Comm
~~~
5 ~TOTAL OF ABOVE
:. Sta te Stlrcharge
,X Ildmint"strat,ive Fee"}
'O1'~ ~~.~/
not included)
$ "O~OO
$ 40.00
S 20.00
$ 36.00
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