HomeMy WebLinkAboutPermit Electrical 1998-9-4
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SPRINGFIELD
The, following project 89 wbmlttl1d has tho 101
zOning, and does no( r9Quiro .pedllc "'rid u
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225 FIFTH STREET Del~
SPRINGFIELD, OREGON 97477 Authorized Signature fYV\
INSPECTION' REQUEST: 726-3769
OFFICE: 726-3759
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C\JOB DE~~~~ r\..M t1.
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Permits are non-transferable and expire
if \lork is not started \Ii thin 180 days
of issuance or if \lork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elect~icalContractor. betl.IVS [rectI/Ie.
Address P.O, (30)( :1.S-8!>
Ci ty [u.~ ewe
,
q7'fo~ Phone Q35"' ~)D=5
The installation is being made on
property I O\ln \lhich is not intended
for sale', lease or ren t.
Owners Signature:
DATE;-------------------C{~2t~t5t~----
RECEI~li: \) \ 1\ -.1.,'\ 'A 'I ()
RECEIVED BY: \.J J\G to... Y v vt/
.... .
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ELECTRICAL PERMIT Np:ICATION I /)
Ci ty .)OJ Number \..\ '6 ~ I?\ ~\J/
3.
COMPLETE FEE SCHEDULE BELOV
A.
Ne\l Residential-Single or
Multi-Family per d\lelling unit. .
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dw~:ffi'm
Service %.~~~t!'i/0t1.. $ 40.00
i,., ~/QCe 1IIe8 'Ore
Serv i ce.v~<;>..q~!J.Qt'.leO'opt. Po,., /e
Installafi"6nyoW.l'~a>~~byll}iI-,-eq. .
or Relo-5f~&,~;Vl1]e "00; "h~8. eO lJ1'liI,sy.
1111]6e Il)e cry Oblq' Oll)ro e 'U/e '"eOo 01110
200 amps or;'tds.~ e"'le,_ ~~cn;s,IIQIfjQ'3(JI:.Il1t;~
201 amps to lififJ. ~~. o!e e~:oo t~
401 amlls to. 60.tY~'fIJ~ll)e fOO'_IJ/;" (1.
601 amps to 1000 am~tv ~oos6-
Over 1000 amps/volts -""<?~1.1~aqg?!:ro:J>--
Reconnect Only . ~ 4~{~~
.B.
C.
Items
Cost
Sum
-Ef9
4-~
Supervisor .License Number "38/"1 S'
Expiration Da te 10 -, - 'I g /lit')
1Y/ -I/Cl
Constr Contr. Number qq .'>tt7<if',Oc-. ~
. y/~ ''Y4?J
Expiration Date 10 - 1- 5~.yA_ V~<A VJ;I'~ 200 amps' 'or less
, . '/Vy. "('4-(1 "0 u. 'f(( 201 amps to 400 amps
Signat~of Supervising E~c;:~riSda'ff!ro~ ~-rA Over 401 to 600 amps
()- \ ':'1YA 0-9l.n ~h ~~~over 600 amps 01- 1000 volts
'-1-:: ~'o. v A1i> :"'<5',0 ~J:: . ,.
~ (\ ~'/I)~~P'~ Circui ts
Owners Name '1O..l j(\ "- J"H. . ~ ~ r'1PJfo 1,1' V-?k .
Address \ I') loS ~(\ l' YllJ~ ~lJ1t;~.l'teratlon or Extension Per Panel
U. lnr1 l vi" rY1fY _ One Circuit $ 35.00
Ci ty f~('~:..l ~ Phone Ot)\.V'U {\....{,O Ea,:h A~di tion~l .
.. .' ClrCUl t or WI th SerVIce
OVNER I TALLATION or Feeder Permit
(
'-~
$ 85.00
$ 15.00
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted EnergY/Res .
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
::.....: . . .....~.;):. ....
$ 40.00
$ 55.00
$ 80.00 .
see "B" above
.'
$
2.00
not included)
$ 40.00
. $ 40.00
$ 20.00
$ 36.00
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