HomeMy WebLinkAboutPermit Electrical 1998-6-23
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225 FIFTH STREB'ItAhorized SIgnature n )~ PEF/~. , ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~UTHOF/ ,fl'1I.L EX Ci..J:J.1.I..("'~ -
INSPECTION REQUEST: 726-3769 COM' flED UNDE:.F/ PfRs.twr#~b Nwnber '1l:n71~ _
OFFICE: 726-3759 MfNCFD "'" TH/!~ 0&::0.. WORk' OtO 7S i-
AN" '11 - ""'" fS9@PI:ETi'"l"E)!/~CIlEDIJLE BELOII f
1. LOCATION OF INSTALLATION r) '>.., " PFq ANDaNFn, ' 'VaT
f ;..J!-" r// q hi ,4'/<7.--4'.5 ' Af'i/Nev Reslaerfd.ral-Single or
Multi-Family pe. dyelling unit.
Service Included:
rm.11~~'B~o L/Or
JOB DESC)U.PT~N
Jr/t-///cr /.2. /f?F'C-/J
Permits ar~ non-transferable and eKpire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elcetric3l Contraetor Able Electric
Address 5511 MAIN
Ci ty SPRIN~FIFI n_ Phone 726-6701
Supervisor License Number 30238
Expiration Date 10101/9R
Constr Contr. Number 92506
Expil'ation Da te 7/16/98
SiKnature of Supervising Electrician
A v';>
~&.--.:?d
r D.
OWners Name L- h :1 F'..-vA .> ,o,-.rO,.. ~/? ..vii L
""''';!f;t n -- 1);1+0-_ /lwL(.-:-
City /\1 ~' .Phone~O'Z)
'OWNER INSTALLATION
----
The installation is being made on
property I ovn vhich is not intended,
for sale, lease or rpnt.
OWners Signature:
DATE:
RECEt
RECEIVED BY:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Kome, or
Modular 'Dvelling
Service or Feeder
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
Cost
Sum
S !:l~.00
$ 15.00
S 40.00
/
S 50.00
$60.00
S100.00
$130.00
$300.00
$ .1.0.00
5" () ,t> 0
C. Temporary Services or Feeders
.Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
Branch Circuits
S 40.00
$ 55.00
S 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service;z-
or Feeder ~ermit ' $
$ 35.00
2.00 YoO
g, Miscellaneous (Service/feeder not included)
~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 5P'.p 0
5% State Surcharge --/0
3% Administrative FG!Q ./~{; ;2.
TOTAL < ;--.3 ~