HomeMy WebLinkAboutPermit Electrical 1998-3-6
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SPRINGFIELD
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The lollowlng prole<;\. ~q'~lro epeclllO land I.lOO
'ZonIng. and doe9 nV"
225 FIFTH STREET approvel.
SPRINGFIELD, OREGON 97471 Zonlno r ~
INSPECTION REQUEST: 726-3769-:2,-fL:-q 't
OFFICE: 726-3759 Oate_ .
- Author\Z9d Sl9na\U"'~'
t.. LOCATION OF INSTALLATION "::>
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,LEGAL DESCRIPTION -:::J..~n^)
'l0~ ()"UJ/J...-'
. , \TlW DESCRIPTIO" L- .r.r-..
\ 0\\ n J\ f'f\ ....../'i >(:'l \JLA \ \
;ermits are non~rans~rable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Supervisor License Number
Expiration Date
Constr Contr. Number
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
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ELECTRICAL PERMIT WLICATION
Ci ty Job Number U\'lolJ?D ~
e8hfLel~ ~gE SCHEDULE BELOV
Electrical Contractor :is kA,,~&e()
Address /2J() ~~../
City ;;;: ~ / ~/ L Phone .?.('~ -...,.--s-Z ,-
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'ftF300
Expi'r.ation Date ~(~ i? 200 amps or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
/? _ ~ ~ _ Over 600 amps or 1000 vol ts
.. /'7 -" .........- C <" D. Branch Circui ts
Owners NamEf-t J;.,I't / I)/? ::;/'ft..~') r )p;~d/e~
~r>l\f\ ~~ New, Alteration or Extension Per Panel
Address~"..rr-k. qVO~ J
~~ -.A1\ rAJ.. One Circuit $ 35.00
City _ _ Phone rT .Q~~~ Each Additional
Circuit or with Service
o TALLATION or Feeder Permit $ 2.00
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home 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
unit.
Items
Cost
Sum
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. pTOTAL OF ABOVE
~ State Surcharge
TOTAL
$
$
$
1 $
'1(,-
"2-- yy
.3...F- rY
40.00
40.00
20.00
36.00
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