HomeMy WebLinkAboutPermit Electrical 1999-6-14
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SP aFIELD
The following project as submitted has the ibll6wing
loning. and .does not fequire specific land US~
approval. '.,..." () _
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225 FIFTH STREET oOlng (; -t!-f--Cj '" ELECTRICAL PE1UIIT APPUcATION
SPllINGFIELD, oREd6N"9'1tiTl ;<:M.)
INSPECI'ION REQUE~ho~a6.slj'6Q,re. Ci ty Job Number ~ 7SZ9
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
7'2~:/ M;1l..~~~-:?,
LEGAL DESaumoN 1<60,)" O~I.;
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;
JOB DESCRItrION i.
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Permits are non-transferable an~ expire
if work is not started within 180 days
of'issuance or H work is suspepded for
180 days. ;
i
2. ",,,....-.ACTOR INSTALLATION ONLY
M9"hJ/4
Electrical Contractor ~"'c~j-2:_
Address d/?? k/ 2~A-y"
Ci ty L/ ..",U', Phone 3' '1'5-;; 2-9.7
supe~viso;rLicense Number O'~~-~
I D/9'l
/77_52-
/3,/9 J
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
~~~/4~~~
ovzf?~ame-P'';~~AL~- D.
Address 724/? "l;;:.,;q S4-"7~)~'j. ,..~?-,
-' J _' _
Ci ty ~~. Phone 7~e: '7""<:
J / 7~ :
OllNER INST LA'fro'F :
The installation is being, made ~n
property I own which is not intended
for sale, lease or rent.
Owners Signature:
I /
Dm~-:------fFtrcl7' q'Jj~:_. --.
RECEIPT;: '+-::'<' '-i ;"L., '-1_
RECEIVED 'BY'n '1.fI1. ~ "'--- _ .
3. COHPLETt FEE SCHEDULE ~ELOV
. A. New Residential-Single or
Multi-Family per dwelling unit.
Se'rvice Included:
Items Cost
Sum
1000 sq.ft. or less 5 85.00
Each additional 500
sq. ft or portion
thereof 5 15.00
N(Ji4\i;1IIf,nuf'd Home. or .
THI~~~~~~f~EIFTHEW?~~o.oo
AUTHORIZED UNDER THIS PERMIT IS NU r
.B'C~""'Yi~~ ~AIiJ()ONEDFOR
'1n.n'S' 't"al1.a:U,9R'l'yAl tera tions
AN*-1 ~!ilB1Yatti'Ot'lP
200 amps or less 5 50.00
201"amps to, 400 amps 5 60.00
401 amps to. 600 amps 510Q1iOP
601 amps to 1000 amp~... '''Q\Ji{!$>l~.
Over 1~~9 ~ep.!!i,voJ.<t's \~ "~~ ()(el.S300~' h
RecoJl1ie~t'lOn;l.Ydollted b 1 . _' "'oS t$e4'G'~t 1
10110W {\.I\e~-;'()ter. Thu"~ "- OM'\ 952
C. Tem~til\~..,i(S~~i,C;,~5HOi!1{P~~~~11~~ {\.lIes b~
Ins't~~i\'t<j;on'P 1(l\l\lt6.i\d~'i\\eQr"~,_t<ion
Ir 0 '(01.1 {TIa~ ~Note.. \\1e ilica\iO\1
200 ~h\\~,% tiles~~~;~'1nn lltiliW ,~\Ol~. 00
201 amp,s{TIto{ ~G(j:1'am~si>nn.~3't-2~5. 00
Over 4'df to ~eaiDp'S. $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
)
'=?S; -
One Circui t'
Each Additional
Circuit or with Service
or Feeder Permit
5 35.00
5 2.00
E.
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
5 40.00
5 20.00
5 36.00
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