HomeMy WebLinkAboutPermit Electrical 1996-1-26
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The fo!1owing prOjet. as SU,O l .I,~ U
(: :.I-,Ing; and dOBs not reqUIre specific lend u
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225 FIFTH STREET Zonina 1.- D t'2.- ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477- ' t:) It q
INSPECTION REQUEST: 726..,3769:0 \ - ~(o --l City Job Number (0 () ( I 2., .
OFFICE: 726-3759 Au1horized Slgoature :; 0 1lf\
,j. (;\Ylll'LIIT~ F~E SCHEDULE BELOII
1. LOCATION OF INSTALLATION
4.::;f / KA-L/YJ,)Q. ..s7TEGT A. New Residential-Single or
Multi-Family per dwelling unit,
I~O~ALtJl~~~!?N (J ~~ Service Included: Items Cost
:t1 JOB DES~PTION
I -Af2..m I iVSmLL_
Permits are non-transferable and expire
if work is not started within 180 days
of issua~~e or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor AnT Sp.C"lIrit"v ~vc::t-ems
Address 1501 Pearl Street, S~itp R
Ci ty Eu~ene _ OR
Phone ~6 1-16?_ '..113.
Supervisor License Number Rl 777 TI.I'
Expiration Date 10/01/96
Constr Contr. Number 59944
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
HodularDwelling
Service or Feeder
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
Sum
--
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date~9/96
Signature of Supervising Electrician
c;l<J,e' xL~
D.
ers NamefV\((~AYll?(, Gt= CAl2ll M,U€R.
Address4_3.AI 'KALm,A- .sTREE~
Cit~'I\r-,H~\ 1\ nF_Phone.5.,'-i/.74-7.L/.QO'-/-
OfN1J'
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New. Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res 1 $ 20.00 ,20,00
Limited Energy/Comm $ 36.00
Owners Signature:
r;i.T~~=--1-:'2~-:-q-~-~-----------
RECEIPT I: 2.m'i{Q-
RECEIVED BY: i-.)OVlCAA
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
20.00
. 1. 0.0
.60
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