HomeMy WebLinkAboutPermit Electrical 1998-6-9
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Author~l!Ilil.~re nm ELECTRICAL PERMIT APPLICATION
97477 l'4U I [\,,1:..
726-37W1S PERMIT-SHALL EXPIRE IF THEi-W!)RJ{.>b Number OJ &()L/ L I
. AUTHORIZED UNDE~ !HI~8R~MH!S ~ SCHEDULE BELOW"
1. LOCATION OF tNSTALLATI MMENCED OR IS ABANDONED F9R, ,
. J &:) 07 C"~Cv(",net./ .... RIOrt. New Resldentlal-Slngle or
. !i1 ook~~..9 l/.1c-e.. . Mul t i-Family per dwelling uni t.
/ ~G~. DES~.I P~ION Service Included:
IO-S1..C;;3 ~/&;1-6 0 Items
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759.
JOB DESCRIPTION
tPe",~ ,'~ (', D.J I ~v..,-
Permits ~re 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 Contractor c:/~ ;(}c-et ( tF(c'~)
Address 471];" ~j)x Ihl/alA.' ~d
Cityj3.JfbnC_~ 'Phone .4t~S-,:;(47Z
Supervisor License Number ,:3 .578 S
Expiration Date
/0'- 98' .
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 93153
Expiration Date
q --9R
Signl1L SU~;~;;;Jctrician
/.../ f.. . r- .
Owners. Name ~ ~ J.., tlnl!"'-t k--
I '
Address 15 D 7 (?e-..., -I.e.\1"': ~ I ~lJ j
Ci ty ~..-r2J-z:.l J phone 7..f-6r $} z. 98
-() 6
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
.
~~TE~-----ceJf~~2f~-~~-~--~------
RECEI PT #: l L).:'::> U:L .J-- 15
RECEIVED BY:;/.... 11/ r ,/ A/\
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Hom~ or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
Cost
Sum
$ 85,00
$ 15,00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
200 amp~"or 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.
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit (
Each Additional
Circuit or with Servick-
or Feeder Permit ~
$ 35.00 ~5,Oo
$ 2,00 IO,.()O
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
$
$
$
$
LlS.oe
~.2~
. J . (~'--""
~.~
40.00
40.00
20,00
36,00