HomeMy WebLinkAboutPermit Electrical 1998-4-14
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e, following project as submltled has II,,,
zoning, snd does not require speedic land .~~Ielowfng
approval, ......
225 FIFTH STREET I rL V
SPRINGFIELD, OREGON 97477 Z~nino _ .
INSPECTION REQUEST: 72~!ll/i.Q
OFFICE: 726-3759
Authorized Signature _ n rv'\.,
k'1~~TI!jJl~~IO~. A.
LEGAL DESCRIFTION
-17 03 'j u ;:).. ~ - 0 1/.:2 (a
JOB DESCRIPTION
f2.P (LIII.A
Permits are non-transferable and e^~ire
if vork is not started vithin lSO.days
of issuance or if work is suspended for
lSO days.
Supervisor .License Number
~'S:o.1IE
Expiration Date
(0/'8
.,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~------~;=;4=q-gr------------------
RECEI;! i: ." lC,J) /l:,
RECEIVED BY: -K.<-J
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number q ~ 0 Lf 3 L-/
r~TE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per'dwelling unit.
Service Included: '
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
Cost
Sum
~ 8>~0:i! Z
~~-icnU
.~ ~ :r: " -t
~ m 9 mo-
z .~ ::0
)>0 () N =-- .m
m m ~,..
<OO-i:
"1:J ~~O~
~ ~O fflOF
PS 3:60 ?QOm
$&O~O~
$~O~O:D
$ ~O~O~
m:D"
. o~-i
C. Temporary Services or Feeders" :::j ffi
Constr Contr. Number (:y.,f'fI.(X-t Installation, Alteration or R~ooat~n
ZO
Expiration ,Date //'19~ 200 amps or iess $ 40~~
. 201 amps to 400 amps $ 55.00
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00
~ - . Over 600 amps or 1000 vol.ts see "B" above
~. ~ . D. Branch Circuits
Ovners Name J.r.(JJ.A~.A" oJ 1:>avUI CU~
. ~ New, Alteration or Extension Per Panel
Address 1l/'1.'J . J) L'~
CitY4~I<z!J Phone&Y/- 71{1-~817
OVNER INSTALLATION
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~. 1/. P Installation, Alterations
Electrical Contractor"l7VUI,./U ~~or Relocation:
Address80St(' ~- C!-...>I'4e....,JI lhr. 200 amps or less
201 amps to 400 amp~
Cit$IL<)~ Phone ~t{(-o>1,( 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 'S5.00
$ 15.00
$ 35.00 .
$ .2.00 .
E. Miscellaneous (Serviceffeeder.not.included)
-Each installation' .
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res x.. S 20.00 <
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,;).a,. 00
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