HomeMy WebLinkAboutPermit Electrical 1997-10-2
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THIS PERMIT SHALL EXPIRE IF THE WORK
225 FIFTH STREET AUTHORIZED UNDER THIS PERMIT IS NO,LECTRICAL PERMIT APP~C ATI N
SPRINGFIELD, OREGON 9W.1 n q
INSPECTION REQUEST: ~&!f~ED OR IS ABANDONED FOR City Job Number . I
OFFICE: 726-3759 ANY 180 DAY PERIOD. j
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
'1...Ll c MAd /J S11t<t::t::::I' _,_ ,_,,_,..'M n'ilject a,j\"'Jbn~.eYJtResidentia:l-Single or
zoning, and doss not requlreMul'fi.!oFanii'ly per dwelling uni t.
LEGAL DESCRIPTION opproval. n r Service Included:
~ 35" 32.. "LtTX L.Or :SIOQ _~_,,,,~', ; Items Cost Sum
-" ------
JOB DESCRIPTII)N , Dale to -; }/q 1 1000 sq. ft. or less $ 85.00
"Rep("Al'~ ex.lSTLt.:& '?'t~,~,;.v?~aturen. nAEach aI~d~ tionalt.. 500
'-1 ~4' L vr por lon
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Borne or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor_ f:.stA; --eNe!.,
Address l1.IO OAKP^~ Rd,
City eUC:::€N~
Phone 'l.8~-55"t(.,
Supervisor License Number
Y3\-
Expiration Date lo-(-q'l
Constr Contr. Number lll.z.fl.(,
Expiration Date 1.-2--'lS
Signature of Supervising Electrician
~/1rC--, ~ ^d
./J:[ "'1/1-
Owners Name 1ZAt..P-L1 'SmEE'D
Address ['"tIP \IJ~, "(',"
Ci ty SPR.l.NGKlei:m Phone 1'il..,-52-'13
OVNER INSTALLATION
The installati'on is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATElZ5~-~~-q~------------------------
RECEIPT jI: UA--J~/O
RECEIVED BY: Ll, if), I'~ r t A ~ A'
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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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting~. $ 40.00 ~l).~
Limited Energy/Res $ 20.00
Limited Energy/Comm ----- $ 36.00
~~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00