HomeMy WebLinkAboutPermit Electrical 1998-8-21
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Oat8j~1 J 7 - ELECTRICAL PERMIT APPLICATION
9747i!uthod ' . On;O,12
726_37billldSignatura~City Job Number '/'/, '1,,:)
3. COMPLEl~ t~E SCHEDULE BELOV
LOCATION OF I.N,STALLATION
\Q':)! LJrnU ~ ,A. Ne\J Residential-Single or
Multi-family per d\Jelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
rrGtjo~~y.r:er D / /P 0 0
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JOB DESCRIPTION ~ J ^ ~" ^.....r^ I
(\tmr\I\TI:~..I'C)f\J $I~~
Permits are ,non-transferable and expire
if \Jork is not started \Jithin 180 daj~
of issuance or if \Jork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor$ P\..uIT,~l(\ \~,
Address,.t,/l 1t,~1-.. .
"'\\1t\,mf'll;b~A, . '
Cit,~ Phone'7J.j.I--1~1b
SupeL'V'isor License Number I/o 2bS
I
"
IO-I-Q5?
Constr Contr, Number 35?4Q
q-I-qg
Expiration Date
',Expiration Date
~2~;:~'~
O\Jner~ Name Q\~hM.rL~~i\..Qtt" D.
Address iqSI ~J ~, '
Cit
Phone 1~",.;.D IQQ"
OIiNER I
The installation is being made on
property I o\Jn \Jhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~~;t~/-6~~-(---------
RECEIVED BY:_ .' ~<V~ .'
Items
Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
tlJ.~~qCe:. . ~ \C\\-I~w~P."60
Ea~)\"M'anuf\Ad- ~p!g. 6~rl;\'-' :'[\S 1'101'
MoAAI,l:a\l:E\o;:lk'l1in&R 1\-1\S pE.R~\ '.
Se J;y,~'t)rotE.qJe~IM'r ',' ,"1'\1\IE.{)9.=r!l'6 . 00
fl,U I f. OR IS !>.B,.,,:-.. ,
ServJlil'tl~~rJf ~~PqRI?i1,
Inst\l;J,,::(ia>t~MH\,'i Alterations
or Rel'oca t ion:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to, 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/vol ts, "gU \S300. 00
Reconnec toOI?~n laW fequlI"~ , U\i\~ 40.00
ATTEN1\O~:n\!l~ 'P'/ \he oreljU"g lorth
C. l_T\~~r='1'~~flllCS~a~'tRQ'~
N~lIe~l>el!tll{." cf\l'1fdUg11tGMiI ~'ltFdfca t i on
'1952.001<00 . iaS 01 \he fU as
In ~ar;l-t>b1~R~~ia' \\,a \a\aphO~a 40. 00
o . \if\5!\~ <t~~ ar\l3illihl NO\lllca~0~5. 00
OV~rbW:l~r \till ~mllOJln'5S,;.?344). $ 80.00
, <w1rt ~~rmnps'&OOr'O'ifOVOIts see "B" above
Branch Circuits
"
Ne\J, Alteration or Extension Per Panel
One Circui t ,
Each Additional
Circuit or \Jith Service
or Feeder Permit ,~,
$ 35.00 35.00
$
2.00 10,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
4:).oQ ,
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