HomeMy WebLinkAboutPermit Electrical 1997-8-28
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SPRINGFIELD
Tho fOIlOWing~rOje ' ,
Z(,ning, and t ~ submitted has tho followin;j
approval.' require specific lend uw
Zoning;: / -0( ;q 1
Dote 6 v 'ELECTRICAL PERMIT APPLICA;;N
974,77' , ,1'\1 '
72'6'!J::3'7-6~ Signeturl Ci ty Job Number 0..1 Y\ \
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. A ~9WI~r-kNlLATION
\\~ ) "'_","'II 1\1~ ,_ . A.
~GAL DES~PTI \ U~Q'::{Ji~
L//9"O.~'-5c..1~ - '
+f\ .".J?{I D&S..~PT};Q~,.., (/ ~ '
~l \),\D.iXJ{ _~7 99
Permits ar~ non-trans er e ,and expire
if ~ork is not started ~it in 180 days
. of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical contractorJCt~~~~;J~
Address PD. (2,0-1.. I ~3.;l3
Ci ty Sel L~ VYI
Expiration Date
Expiration Date
Signatur~of ~ervising Electrician
,..0?~ k B~~
O~ners Name~'111" ,~YVV'~ ~
Address '8Q S. r:6.ciflc. l1:LOU; / p() ~t51( LlSl
'--' '
Ci ty y{)l)YlVY1m~ Phone, ,"'(b-~ ~~-OOCfIo
OVNER INSTALLATION
The'installation is being made on
property I Oyn vhich is not intended'
for sale, lease or rent.
Ovners Signature:
DAT~~------------~~lK \ ,------)
RECEIPT II: t\~~ru1\ ~
RECEIVED BY: CJ" ~ V ,__
COMPLETE FEE SCHEDULE BELOII
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
It ems Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or
Modular, 'Dyelling
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
Phone150~-!1~,~~~81q 401 amps to 600 amps $100.00
NQ1\~t:.; ..9..CMI=~Il~Et,ijOIlOOO amps $130.00
Supervisor License Number ..?~;?'~6'~'i SHALL El'ov'er '1.Qoo \i!lIIWWvol ts $300.00
ft1\;" ER~~~I~ l1nW $ 40.00
10 -, - q'l ",\-Itl\1IZED llND ,nNED FOR '
t - ClOD ofC'S A~~tl&<Yrary Services or Feeders '
Constr Contr. Number I)9;OSq3>OMMEN 'ER\OD~nstallation, Alteration or Relocation
ANY 180 Ul'll f'
;;2,-/g"-Q4 200 amps"'QT less,
201 amps to 400 amps
Over 401 to 600 amps
,Over 600 'amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see.- "B" above
"
Nev, Alteration or Extension Per Panel
One Ci rcui t
Each Addi tional
Circuit ,or ~ith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5X State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
J
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4/0 00
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