HomeMy WebLinkAboutPermit Electrical 1998-7-30
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The folloWIng project as 8Ubmitted he8 the foil
zoning. end does not require 8pa<:~lc lena ue.,
approval,
Zonina L'1) (l
Dete 1-\0 -'1<(;,
ELECTRICAL PERMIT tf'r.LICfff?t
~( J ~:'.1~ _'-t.Jb Numb7r . L\ 1)()f i_y\
3. COMP~ ~E SCHEDULE BELOV
~ o",~ ~1/
'A. Ne{b,~~hd:~1--Single or
MuJ~-~JY>../f~ dvelling unit.
1>el'-\l-.J~ 'tri~~&\-1Il .'
v?;>6 '&>" ~ ~ '00 -'" 'h" ;90 Items Cos t
1Il....'- ~1Il ~ ?'O01ll~ ):,1110'6 -,~ \
10~ot.8_~~t'6~ot> ~~ ~....!' $ 85.00
Eacn~\I'({f~&)afS,,5'O.Q 11109",
sq. 1\t.>:~'1!2lttf~~~ "'1Il7l9..
thereoflb:o-:. 01>, ~1Il.. ~O "IIlA~O $ 15.00
Each Manill\.?~J16~~-'2'r'~ t,.~ ~.iJ~'b
Modular, 'DW~~'1li S>" ~1Il .9~ 1Il....,o ~
Service or fo"" ~~ '0" '?;; $ 40.00
~ ~. ""'0 Q' ,.
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Fe~de~"1Il ~ .
-V .(f' Cl -t- Installation, Alter;?tions
Electrical Contractor\), S i!-ILc..f. ~ or Relocation:
"J 7 - I~' ~ ~
Addresv r 0 Wlff I &:.-n {;.. 'P'-o ~oo amps or less
. ~ ~ 1)' ~ ~l amps to 400 amps
Phone -;t. %:, ~ ~ '401 ami>s to, 600 amps
9 OF) '<%- '''k ~ ;;.>. 601 amps to 1000 amps
Supervisor License Number dL/ ~J ~ O~ ~ver 1000 ampslvolts
, ~ Q ~ ~connec t Only
Expiration Date 10 - 9 C; - ~ ~ ~ ~
I ''-b e' l'..11e~rary Services or Feeders
Constr Contr. Number ~ 1.3 S' ~ , 1,y,s~lation, Alteration or Relocation
't.: -0 ~ A 1""\
Expiration Date tj-;}- f ,,- 9'/ ~~~mk'O'I' less . \ $ 40.00ll.L-
~ ~m~~to 400 amps $ 55.00
rBac..ure of SAP rv~sing Electrician O~ ~~o 600 amps $ 80.00
"" A / , OVI$ ~ ~ps or 1000 volts see "B" above
vL/ ,~J ;;.>. ,
~ D. Branch Circuits
Owners Name \\1
Addres\,Q, (~ r
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 126-3~1/lorized Slgnelu,e
OFFICE: 126-3759 '
1. ~ OW~~~,
\~~~~r=~
:71r'~~f\L \'QC\~
p~rm\Js are non-transferable and expire,
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
As
?iJ
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City
,.
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
Phone~
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation -
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited, Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /~c:(.,(J(J
5% State Surcharge r7.7S-
3% Administrative Fee ~,~
TOTAL I ~ 1, .,0
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owner~~ignature:
"
~ ~ '--~
DATE~---------I} .' , .l,{~" -- -
RECEIPT li: l I ^
RECEIVED BY: Fi,