HomeMy WebLinkAboutPermit Electrical 1998-7-13
02111/98
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10:22
'26 3689
SPFD DEV.
SENol
141001
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225 FIFTH S~rlzed Slgnatur~o~~\~\(;' ...\'O'C.y..~\\)O~ CAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 :s\\\CO' ~'O ~\... ~~~... (). I I
INSPECTION REQUEST: 726-3769 \\,\\O~\1J ~DO~\CO City Job NUJIlber -/<1 OZl.o '1
OFFICE: 726-3759 ~'v 'i.~Gy ~\OU. .
COw.\'!\ \)~'{ ~~. COHPLET~ PEE S\,aJ:.uULE ~ELOV
1. LQG~TI~ OF /Ili~TION: N \~fj .
I ~ b (:f n n I a_f~. _ . A. New ~esiden tial-Single or
Multl-Pamily per dwelling unit.
Service Included:
f-Sfb _~~PTqp!- / L( q () () .
JOB DESCRIPTION
i
Permits are non-transferable an9 expire
if work is not started within 180 days
of issuance or i'f work is suspepded for
180 days. !
I
2. CONTRACTOR INSTALLAnON ONLY .B.
~EYMtJCL>5
Electrical Contractor ~~~~ ~/~~
-..-""; . .' "....,
Address ..Q / 7.~ U,J. 2~ /J~,
. .
City b:/f/'p..-' Phone..;;,341f-7297
Supervisor License Number ~G?-/~.~~
-Z5,z 6 -5 . ~
Expiration Date /C'J-9Y'
Constr Contr. Number /7.?-5'?
Expiration Date /0 -<7.Jf'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular'Dwelling
Service or Feeder
Sery~~es 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
Items
Cost
. Sum
$ 85.00
$ 15.00
$ 4a.OO
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5 () .00
C. Temporary Services or Feeders
Installation~ Alteration or Relocation
200 amps"CT less S 40.00
201 amps to 400 amps $ 55.00
Signature of :guperv' ing Electrician Over 401 to 600 amps $ 80.00
;c::. ./ /. / Over 600 amps or 1000 volts see liB" above
~~4".-: ~~~~
J~Lfj'. ~iI . bB'.\ J:' ~ ~ranch Circuits ..
ers Name -, j), iK(m rbI/+- (...iv;rq.; In&-
J (I U Nev, Alteration or Extension Per Panel
Address I_~ I /J I V in
City 6U/jPN_ - - Phone31 L i:-99r/{)
V. , ..2!:::[!:J' UlY
OYNER INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made ~n
property I ovn which is not intended
for sale, lease or rent.
OVners Signature:
:~~~~JD'3~fJr?;-/<lV ----------
RECEIVED 'BY: Lh. 'VI/ I/' vL--
One Circuit
Each Additional
Circuit or with Servi~
or Feeder Permit fJ
.5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
lo,au
S 40.00
$ 40.00
$ 20.00
$ 36.00
(00.09
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