HomeMy WebLinkAboutPermit Electrical 1997-6-24
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225 .FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477 j. fA
7 'l.6'.i131-69.F2i=h 1
Authorized SignaIU;. tJ rJ\
3.
1'- LOCATION OF INSTALLATION J ..
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. LEGAL DES~PTI~N l(;032'XJ.fX]1</DO
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JOB DESCRIPTION . , .
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Permits are non-transferable and expl~e
if \lork is not started.' \Ii thin 180 da'ys
'of issuance or if \lork is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor L.fI. /Ubltf?tS EU:i:r
Address 4y3 sf"df':r r;re.
Ci ty f:,f'f1p Phone '7 4-7~of'11
. Supervisor Licen.se Number ;3zrz& - S.
Expiration Date /O-/~ '1t'
Constr Contr. Number Of x--3~
Expiration Date
f&~ 'b -.17 .
Si&na~u~ of Supervising Eiec~rician
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ovners NJrt VOn T1f::.r.htJ.;s:
Address3/ So fhahlJJo lk/A)() (J
Ci ty:;;priq;~I- ~d'Phone~12~- &i I'
01lNER rn TALLATION
The. installa.tioh. is being made on
property ;I: o\{n\{hich is not intended
for sa~e; 'lease or' !=en.t. .
.()tm,er;s Si~ture:
..:.... ....
DATE: (p/)J+lq.,~
RECEIPT, t: 1')J-/,fJ ~.'{V . .
RECEIVED BY: '-t... /11/1 ~~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q I D (p 2- cr
....unn,r.u'- rr.r. SCHEDULE BELoII
Ne\{ Residential-Single or
Multi-Family per d\{elling unit.
Service Included:
Sum
It~ms Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each ManuUd Home. or
Modular D\{elling
Service.or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40-.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps OF less $ 40.00
201 amps t9 400 amps $ 55.00
Over 401 to '600 amps $ 80.00
Over 600 amps.or lOOO.voLts..see liB" a~
D.' Branch Circuits
Ne\{, Alteration or Extension Per Panel .
One Circui~1 $ 35.00 "35 ~
.Each Additional
. Circui f.or \{i th Service
. cir Feeder per'mi t . ~ $ 2,00 10 u-s<
E.
Miscellaneous (ServiceJfeeder
-Each installation
Pump or. itrig~tioh'
Sign/Oil qih.~Ligh dng
Limited Energy/Res
L'fnii ted~n~:rgy/Comm
no t included)
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SUBTotAL OP"ABOVE
S';'State.Sutcharge
. .TOTf,I. . .
..' ".... . ',', ,-
$40.00
$ 40.00
:$ .20.00
$36;60
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