HomeMy WebLinkAboutPermit Electrical 1998-2-11
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The followfng project 88 eubmlttocl has "'" IoIIowtng
loning, and doee not roqulre epeclIlc /and IISO
approval.
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97477 Dat~ Z- I kt ~
726-376
Aulhorimd SIgnature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION (\
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ())CL<;
Address Po (~'X <4.::1.'1)
City(-./"1v-",-" CI~Phone .-'J.;J.~, 1&2/
Supervisor License ,Number ~CkO.<
Expiration Date (0 - (- DO
Cons tr Con tr. Number . ':>.x no I
Expiration Date 0. - \4
- on
Signafure of Supervising
7 ~.A/Vv>A7_ ((jPPA1^.
Electrician
-
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Owners Name ,,",'It:-,,;';=-
Address
Ci ty Phone;4 I - 60}.3
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------~--------------------
DATE: :J~I ///)' g
RECEIPT 11: / (z ~ 77..,[ .
RECEIVED BY: .cf' 7- L.,
ELECTRICAL PERMIT APPLICATION
City Job Number ]gO/16
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3. COMPLETE f~~ SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
,B. Services or Feeders
Installation, Alterations
or, Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
a~
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Ci rcui t $ 35.00 ,:l,s: """
Each Additional
Circuit or with Service
or Feeder Permit I, $ 2.00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting. $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy /Comm $ 36 :00..
5. SUBTOTAL OF ABOVE ~I ~
5% State Surcharge I"""
3% Administrative Fee I "
TOTAL ...... 0. " "