HomeMy WebLinkAboutPermit Electrical 1997-9-26
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225 rL& J,Q. STREET !<!.I ~- .'N
SPRINGFrE~u'OREGOWig-14'17 ,0" _AiJ JP
INSPECTION RmUEST: 726-3769 J--J? Sf~
OFPICE: 726-3759 'V ~ ~
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1. LOCATIO!i.QF INSTAg.A~ ~~ fi. '?J"<(' s;).
~\ t-:w6... 't L~,,:::; Q\:. New Residential-Single or
~ ~- (i;~ W Multi-Family per dwelling unit.
LEGAL DESCRIPTION ~(j) ~ 3, .::: Service Included;
-1::70 ~ -z.?_~()..z,.' ~". Cf.::>. ~ . Items Cost
.)'~ DE~J.>1:IPll. ",' U ~ 1000 sq. it. or less
~eLU~\ \ '-\ "''1,,\f.('(\ \(\'$&'a.~T\C(\ E.ch .dditional 500
~ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Hanuf'd Home. or
of issuance or if work is suspended for Modular'Dwelling
180 days. Service or Feeder
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number q 11 'I-:L 7
COMPLETE FEE SCHEDIILE BELO",
2. CONTRACTOR INSTALLATION ONLY
.B. Services or Feeders
Installation, Alterations
or Reloca tion:
Electrical ContractorSecureCom,lnc
Address 1126 Gateway Loop, Suite 122, .
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
Ci ty Springfield
Phone 988-3585
Supervisor License Number 7~LE
Expiration Date 10101199
Constr COntr. Number3.353CLE
Sum
$ 85,00
$ 15,00
$ 40.00
S 50.00
$ 60.00
SlOO.OO
$130.00
S300,OO
$ 40.00
c. Temporary Services or Feeders
Installation, Alteration or Relocation
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Owners NameCCX\TI (\E:-T
~J I ~() New, Alteration or Extension Per Panel
Address] \11.1' ^0-.\'r:LLx1.'J U lr 'S1t::. II u
~ ()F '-'J ~ One Circuit
Ci ty ~ LO Phone Each Addi tional
Circuit or with Service
or Feeder Permi t
Expiration Date 1WOl197
Signature of Supervising Electrician
200 amps"or less
2Ql amps_ to_ 400 amps
Over 401 to 600 amps
Over 600 amps o. 1000
D.
Branch Circui ts
OYNER INSTALLATION
Tbe installation is being made on
property I own which is not intended
for sale. lease or rent.
vo.Lts
S 40.00
$ 55.00
$ 80.00
see "Bf!
above
S 35.00
$
2.00
E. Hiscellaneou$ (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
LilllltGd Enngy/COmm \ S 36.00 ~U-J
Owners Signature:
DATE: q -a.&. -~ 1
RECEIPT ,: .::l.'iC:;IJ
RECEIVED By: -K...J
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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