HomeMy WebLinkAboutPermit Electrical 2008-3-11
/5605571'" ( -f~ 2/1.... .
3.
225 l'll' Itl'STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number LO~ ZOO~- 00 l.(Z-
Lf(J:5'"L( 5
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Constr. Contr. Number /7;2 ~c# ~
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Owners N~e - /fIf-:-yA t!# ,~t:!Nr
Address ~Z2.:'J~&I@~~ IL E.
city/~k.w\iJ,v d Phon~ ,Z1K:- ,6 r S ,r::. Pump or irrigation' $ 55.00
. . . NOrICE.~igoJOUt1ine Lighting' ;' $ 55.00
OWNERINSTA:Ll:ATION - - --- ,., .-.~ rHIS p "'Limited'EnergylResidential~-'" '-'d--d--d-$28;00---------
-The m.,tallation i, bemg mooe ODj;'OpertY Town.W~mi)~"~f$comrn"cial-- .----. .-~ 50.00
1S not mtended for sale, lease or rent~ OMM' 'JJ/iJ3 i '€'/~ ction Fee is $50.00 + Surcharges
ANY 180df;
1.
LEGAL DESCRIPTION:
/8020300
07200
JOB DESCRIPTION:
;/vI./'- S t-- t-J I YJ.-e
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
----- - .Suspended.JOl:-180.days____ ------
2.
Electrical Contractor -r;f)J~fcj, r.-/ec
Address ;)o87C; ~ C{
C1ty
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.D~
l'llone J"'t7/ ;;n-mo
Supervisor License Number
Expiration Date
Expiration Date
Owners Signature:
Inspection Request: 726-3769
Date
A.
Service Included
lOOO'sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling. Service or
V perl pr
,
Z
$117.00
1/7
lfZ
$ 21.00
$55.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over iOOo--Amps/Voi1S
Reconnect Only
$ 70.00
$ 83.00
$138.00
$180.00
$"4131)0
$ 55.00
c.
SJ
'21'1
'Z S68
7/1(0
ia 70
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Shared Drive(T:)fBuilding Forms/ElectricaJ Permit Application I-08,doc
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