HomeMy WebLinkAboutPermit Electrical 1997-9-16
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SPRINGFIELD
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225 FIFTH STREET O>'11'O""'~ " L.A::M!
SPRINGFIELD, OREGON 97477 LO,dr",'
INSPECTION REQUEST: 7~~".;H~-H.(.::.q1
OFFICE: 726-3759 Y\",^
Authorlz'.J{l signut;.J;e__j.....!.-L-]~
1. LOCATION OF INSTAL~TION
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LEGAL DESCRIPTION
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C) 5- ~ crt)
JOB DESClj,IPTION
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ED HA<.A::.'C.
Address 57310
City SPfo
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Cd 7/0 -t-/ 7"'Lf
Phone '71(,;,-70'-f0
Supervisor License Number 35 '77- S
Expiration Date
/0-/-<78'
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number~'2~q
Expiration Date
~-1-'11
Signature of Supervising Electrician
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Owners Name J1nf^- ~A-'7r lAJ<L,
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Address .j) /) /?-'y ~.~~
Ci ty ~/.tI#7Tj Phone ~ 7r;<7-,'l,~
OVNER INSTALLATION CC97/?<"<-c <<..QK-)
p/tfIm?c
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
J/~4'~;J.<> #/73h..,
-----------~--J7:1---------------------
DATE: '1. /~ n 7I-27f2-L'
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number
COMPLETE FEE SCHEDULE BELOY
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. 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
200 amps' 'or less L---'"
201 amps to 400 amps
.Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
97/J7f5
uni t,
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00 ~f)trU
$ 55.00 ~
$80.00
see "Bt' above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
,r. Administrative Fee
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
W,OD
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