HomeMy WebLinkAboutPermit Electrical 1997-5-9
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225 FIFTH STREET Zoning_ LIYt J
. SPRINGFIELD, OREGON 97477Dme 5-rz.f1
INSPECTION REQUEST: 726Al769. --,--tJM
OFFICE: 726-3759 'InOnZedS;gna!ure_O.
1. LOCATION OF INSTALLATION
,-J BG:.3 Uwf2A' qr .-t;fXl3AK,fIFa) A.
LEGAL DESCRIPTION
.i:ljJ '?'l 7/0 '!j.... [(If D '3<16 ()
118~Ilf~~o3N~90c)
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,
Electrical Contractor}...<) C'dC7r> ,,"'_.
Address(-?O,BoI. ")4Q~~
'Ci ty_t:;u(~ Jl5Phonej,;,gl... /o7.?Jo
Supel-visor License Number ?i{Cf75
Expira tion Date IIJ - J - qJ
Constr Contr. Number t..~R 'lD~g9
Expiration Date 1-:l---;)-J''9 7
.Signature' of Supervising Electrician
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,
Ovners Name,t),"Ic:.t;. [" ()JO.;Jt'Ah-F'
AddressJalaD Ly.l)~'- I.ANIi:
Ci ty -""Sr:t2JM,Hh-7J Phone::;H(,.'h.~_
OYNER INSTALLATION'
ELECTRICAL PERMIT .APPLICATION
Ci ty Job Number 410 7 / c;
COMPLE'1'E-rEE SCHEDULE BELOII ~
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or less
Each. additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dvelling
Service or Feeder
.B. Services. or Feeders
Installation, Alterations
or Relocati"on:
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps'
Over 1000 amps/vol ts
Reconnect Only'
, .
Cost
Sum
~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
-+-
$ 85.00
$ 15.00
$ .40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600.amps $ 80.00
Over 600 amp~ or 1000 volts see "B" above
@ Branch Circui ts ( Z. ~pt)k... ~/t2<</~
Nev, Alteration or Extension Per Panel
$ 35.00
'?>~-
$ 2.00
~
E. . Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Owners Signature: Limited Energy/Res S'20~OO
... . ~/--,'~. . ~r . Limi ted. Energy/Comm. 7 S 36.00
. -----~--:-1;-1;--~--------------:#------ 5; .SUBT.OT/tL O.F ABOVE.. _ . . ,,:~ 7. oD .'
"DATE:~Jf!l_ .," ',.' ........;."...5%..State'.Surcharge.".'. ,'.'" ..I:V'c::...:....
" ...:g~ivED ai[: JtMS~8,~ , . ,. '~;"'>~~;:'~5/'J~~r,.~~~~~:~,y,,;~(,:F.~~;<<~:
The installation is being made on.
.property I ovn vhich is not intended
for sale, lease. or rent.