HomeMy WebLinkAboutPermit Electrical 1998-1-30
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Th. following project as submitted has the tollowing
zoning, and does not requlre opeclftc land uoe
approval.
Zonl"l/ f r ,
225 FIITH STREET I ~ 2..tI--- ~ K ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9-!i.'~/'" (lY'V\ rxr
INSPECTION REQUEST: 7~~"" e,;, _.I Job Number ~/l) D (35
OFFICE: 726-3759 _ ~ ~.
"I. v.s> t'~ 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~T:WNV .,o~:.
:2.,J~ ('~Ll :a ~), . A. Ne... Residential-Single or
. .~.<,,~<, ti~ Multi-Family per d...elling unit.
LEGAL DESCRIPTIQN J'6'O V~ u~ ~<'( Service Included:
Jlo2, 127Jf7) '2-4~..r<'AJ ~.n~' Items Cost Sum
, ,0 ~""'^'ifS3
JOB DESCRIPTIOtf- ~o. -1<9. -'>1-0>,0 ~~O~ sq.ft. or less $ 85.00
N'1JI c..'.r(ll..ui"l ftlv 1Y-1 ,'(rlJ7LJ~~^- <% ~ additional 500
- - - ~1:l ~~q~dt or portion
Permits are non-transferable and expire ~~ fih.e~f $ 15.00
if ...ork is not started ...ithin 180 days . ~~ti>JHanuf'd Home. or
of issuance or if ...ork is suspended for Modular. 'D...elling'
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor~'ll~t:.I<2-e.-'\y-tC
Address ld..g~ Whel :r;;.;V.e..
Ci ty. ~Q(\fU' Phone (pB8-{.;/;;)./
Supervisor License Number ~~
Expiration Date Joint jqp,
I I-C.
Constr Contr. Number,;;;o--119(i,
Expiration Date /O/OI/qB
Signature gf Supervising Electrician
~ NJI.1THA-AI -PUIUAs'
O...ners Name ;..vnM. -h<(l~.f!u' oJ (1)idv-,:!'
Address 32. 3 0 (,...~.j..':;--lL J~
City~~'~e1 Phone 74-1'-40<7 I
OVNER INSTALLATION
The installation is being made on
property I O"'n ...hich is not intended
for sale. lease or rent.
Ovners~signature:
-.
DATE: \-30 - "71
RECEIPT I:. :L'iS'GoCl,.l..
RECEIVED BY: =-fV,...J
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
S 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
,.
Ne.... Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ...ithService
or Feeder Permit I
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 .::SS:
S 2.00
./1.,-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
1;. 37- -
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