HomeMy WebLinkAboutPermit Electrical 1997-10-10
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SPRINGFIELD
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A"t2:25"'F3iFJ1Rlr~ yY\ ~-c..\C 'J1: C;\"\f>-\.~'r. ,\"\\'0 ?~?I ~\l rO'r. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~Y'~~\ "'D~~\l 'Pf>-~\lO~ /77' ///c/
INSPECTION REQUEST: '7'i.6~~l"T;. O'r.\'O~ City Job Number '-7 //07
OFFICE: 726-3759 f>-\\"~ ~~C~\) ~O\).
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'1. LOCATION OF INSTALft ~<>t'/l~ o !I:
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LEGAL DESCRIPTION
JOB DEJiCRIPTION d'
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Permits are non-transferable ,and expire
if ~ork is not started ~ithin 180 days
. of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~~~~i~
Addl'ess PD, Bot 1:;13.;13
Ci ty So.l.t. v-v. Phone .f5::g.-.I)I?F,-48'1q
Supervisor License Number 2:2 ;{,?-;-;o,
Expiration Date ID-I -qg
Constr Contr. Number ()9;oSQ3
'Expiiation Date
;;2, -/g--qq
Signature of Supervising Electrician
d~/ # h0~-4"A.--/
O~ners Name~'I'1'I-InMhS, TI1c..
Address I p,q ~,. ~c;fic.. AU.\lA I Pfl j2,1'>'( LlSl
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Ci ty vY'lDY1YYllJlrl-h Phone, S~-\l; ~\S-OOCfIo
v.,,""" INSTALLATION
The'installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: /0-1 D - <; .,
RECEIPT 11: ::1.7 (PJS I
RECEIVED BY: ~
COMPLETE FEE SCHEDULE BELOY
Ne~ Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less -I- $ 85.00
Each additional 500
sq. ft or portion )
thereof $ 15.00
Each Manuf'd Home. or
ModularDl/elling
Service or Feeder. $ 40.00
,B. Services or Feeders ,
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
/,01 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"'OT less.
201 amps to 400 amps
Over 401 to 600 amps
Over 60Q 'amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see. liB" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or ~ithService
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited EnergylComm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~,Oc;)
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~.CP
108 _CX:;
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40.00
40.00
20.00
36.00