HomeMy WebLinkAboutPermit Electrical 1997-2-18
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The, fol/owing project assubmf:~,..~I :-._,.. .1. ' '~",_. " . _
zoning, and does not requ"',,,, '
approval, "" -,"" ,; , ..~: , -
225 FIFTH STREET zoning_~V ~LECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 Date) -I fS ,a~ - . . f
INSPECTION REQUEST: 726-3769A thl. ."y\ nr-....... . Ci ty Job Number Y? / / L.
OFFICE: 726-3759 u onzOd Slgna~UjeJ " · - .
3. COHPLETEFEK-SCHEDULE BELOV
1.
LOCATION OF j:tJALLATION .->>'-/. ~
<3 J _, :.("1 JT TrIO /
LEGAL DESCRIPTION
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~B~S~~~~ )tJ)()
. A.
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 .B.
Electrical Contractor L~ ~~
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Address---,~~ W /1 Z! A:lL:O ;
City Eu4 Ph~~&~~rS?
:i~~":..I,,!:~.. Licens er IhVI1;
L..I.Af~~ J. 'J 17 a9
Explra tlon Oa e - .....7
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Constr Contr. Number J I ;)q(gl
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Expiration Date
S' o~Supervising Electrician
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Owners Name ~Crl!'J... WtS1..UI-
,
Address S"",,'''' ]);q..l~"f .:tJ: 101
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Ci ty 5ftf.c~Pt~ Phone ~ 1.-i l/iO
OVNER INSTALLATION
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular.Dwelling
Ser~ice or Feeder
$ 85.00
$ 15.00
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"
.-- $ 40.00
y~
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
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
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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 $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~I~~{~:;-Cf~----~-------------
RECEItr I: ~ V _ X- -:2-0 -<;
RECEIVED BY: ~T ' : ~ b-fi u
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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