HomeMy WebLinkAboutPermit Electrical 1997-1-28
. . .'
he following project as Gubmined has tile folloy
zonIng. and d00s.not require specific land use
approval. .'
. 'rJq~T)L-,
Dolo I "
-i0rfa ELECrn:rCAL PERMIT APPLICATION
97477Aulhorl"oo,Signatur. ' /l
726-3769 .
225 FIFTH STREET
SPRINGFIELD, OREGON,
INSPECTION REQUEST:
OFFICE: 726-3759
1. . ,LOCATION 'OF INSTALLATION
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LEGAL DESCRIPTION
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I
JOB DESCRIPTION
. i\".~ ~ : (tr~ I r\.J'{\1' 1\0
Permi ts ar,e non-,transferable and expire
if york is not started yithin 180 days
o'f issuance or if IJork is suspended. for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorc...t~ P\Ol\V\!lll" ~.
. t,
Address 9. Q. bJ.. '4g~
. . 1 .. ' I
tit~ Phone1!LI-~~3b
supe::~sor d\~nse Number I b U,.,\-
:ExpirationDate ID-/-q!l'
Constr Contr. Number '0 ~ g t/q
ExpiL'ation Date q '-1 -q'1
,Signature of Supervising Electrician
, 'a-/Lc27'~
. :', ./.
OIJners Name~M-> ~6 '
Address I~ 5\ .'rfn.L1J1'\r\.ui.~~ '
Git;~lUffiW'o~du Phone '1~I-~
OYNER IN ALLATION .
The installation is being made'on
property I ,oYn,yhi~h. is not, i~te~ded
for, sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: /...26-~7
RECEIPT jT:d?~..;z.'"
RECEIVED BY: "/~V'l!'-
If- '
--'
Ci ty Job' Number "9 ;?'t!)/R ~
NeIJ Residential-Single or ~
::::::.:: ::~::,::W:.;,. .~.
Service Included:
3.
A.
Items Cost Sum
1000 sq. ft. or less' . $ .85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each M'anuf'd Home, or
Modular DIJelling .
- :$
Serviceo~ Feeder 40.00
.B.
Services, or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00 '
$100.00
$130.00
$300.00
$ 40.00
C.
TempOr~ry Services or Feed~rs
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge,
3% Administrative Fee.'
TOTAL.
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
I
NeIJ, Alteration or Extension Per Panel
$ 35.00 ~5.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irr~gation $ 40.00,
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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
200 "mps' 'or less
201 amps to 400 amps
Over.401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
One Circuit
Each Additional
Circuit or IJith Service
or Feeaer Permit,
,!j~.oo
l.'l~
. 1,0_:'1
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