HomeMy WebLinkAboutPermit Electrical 1997-10-10
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kuthorized Signature rf\..y./\. -# '?:J~
225 FIITH STREET ~~ t::" ~
SPRINGFIELD, OREGON 97477 i/ ~ <<c:5
INSPECTION REQUEST: 726-3769 -;$~ '?:Jq,0 #>
OFFICE: 726-3759 <<I,,~ S)c:5
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1. LOCATION. OF INSTALLA~N#,;f ~0 ~
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JOB DESCRIPTION
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Permits are non-transferabie and expire
if work.is not started, within .180 days
of issuance or if work is suspended for
180 days.
City 1''-d ------
Supervisor License
Number <.1../ 'L7 <;
Expiration Date . fn-( ~ "l Y
Constr Contr. Number '1 c, 6 €"'1
'Expiration Date
/;L - d- 7 - '17
Signature of Supervising Electrician .
. i-J-<~V ) e.LI_
Owners Name
A- r A..-J 6 f\-IZ ,.J~~
H (i~: t... If I'f--fc" 0.0
Phon~ -211 (..: ~ 'i'...J::.3
Add ress l; L( 0 -:>
Ci ty ;;ffl-'ri~ j ~A
OVNER INSTALLATION
The installation is being'made on
property I own which is not intended
.for sale, lease or rent.
OVfiers Signature:
---------------------------------------
DATE: . 10 - 10- Dt 1.
RECEIPT 11: {7- I ltJ 10(,
RECEIVED BY: Kuj 1
ELECTRICAL PERMIT APPLICATION
City Job Number
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. .ft or pbrtion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
917/02-(
uni t,
Items
Cost
Sum
'2. . CONTRACTOR INSTALLA:rION ONLY . .B. Services or Feeders
. . KAS '21-"ii:l:, Installation, Alterations
Electrical Contractor IC(,S'/fL li2ol:. IWbCo,1,-ifidior Relocation: . .
, 1. . - - . , . \ '
Address ((. D ID ~ '" )..A/q.,,:'l 200 amps or less
201 amps. to 400 amps
Phone /"ij,--;"?)"~L 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.I
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$ 85.00.
I
$ '15,00 1f IS.
-
$ 40.00
$ 50,00
$.60.00
SlOO.OO
S130.00
S300,OO
S.40,OO
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 lobo volts
D.
Branch' Circui ts
$ 40,00
$ 55,00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel'"
One Circuit.
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrig~tion
. Sign/Outline'Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge.
3%'Administrative Fee
TOTAL
$
$
$
$
)TrD,'-
'1.-
-::r..-
109, -
40.00
40.00
20,00
36,00