HomeMy WebLinkAboutPermit Electrical 1998-1-14
fhe. following project as submitted has too fotlowtng
zoning, and does not r8qulm.........m.. land ' ,
approval. ' -... uee
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225 FIFTH STREET Date 1-- I q. /q-i
SPRINGFIELD, OREGON A9ID]ed~"" '^ YV\
INSPECTION REQUEST: '-'7'ib~J rfj'9,-_n;, 'J,'.. \',
OFFICE: 726-3759
1. LOCATION OF INSTty..LATION
25'0 C 0 !'(\ l.1Hv\ {,(\"U.\..\l ,
LEGAL DESCRIPTION
/7 () :3 2 ~ 43 IJ/ / iJ7J
JOB DESCRIPTIO~ ""
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Permits are non-transPerable 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 ContractorC.~8 P~~t;UI\\I~'
Address P.D, ~ l~g'f-,
Ci t~i\1M~~'M, Phone '14/- n,3 b
Supervisor Ci cense Number I ~ g h S
Expiration Date lb-l-qg
Constr Contr. Number 32~q
Expiration Date
q-I~9g
Signature of Supervising Electrician
a~~
Owners Name Po.u1 fi.J 1\(1(\(\- l
Address ~ 5' 0 (' ~ ~ !Y\JY\tf7\ ~ J
Ci ty~~ \ffin,f~A.Phone rt4i, ~ 1/ '1,1
O\1NER IN~ALLATION '
The installation is being made on
property I own whi~h is n6t intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
r,ity ~ob Number
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
9g ()6'5 (,
Cost
Sum
3 ~ .A ~LETE FEE SCHEDULE BELaY
~~::~~ '.
aA~ ~. idential'7~ingle or
~ ~ ~~~i~ amily per,qwelling unit.
~ ~ ~r~~e I~cluded:
~ '~,~ ~ . I terns
.~~~~~~~~ll~~~
~.~t~~~rtion
ffier~ ,<) *
Each M~~ ~e or '
Modulal~~~l~
Service ~~ P"ee~~.L
~ --10 "
,B. Services or Fee~rs
Installation, Alterations
or Relocation:
$ 85.00
$ 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
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit' $ 35.00 35'.OD.
Each Additional
Circuit or with Service 4.00
or Feeder Permit 1- $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
'Pump oi irrigation $ 40.00
, Sign/Outlin~ Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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