HomeMy WebLinkAboutPermit Electrical 1998-12-22
ThO following project as 8ubmilled has \he
200",g. alld does not requlre speclIIc land IllIO
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225 FIFTH STREET Deletk/'2.;k/./Jr! ELECTRICAL PERMIT APPLICATION, '0'
SPRINGFIELD, OREGON 97477 "16-
INSPECTION REQUEST: 72&!~7~jSlgnlllure Ilrv. Ci tv Job Number l' f /3S 1.-
OFFICE: 726-3759 '-"" '.
. W'TICE: . 3. COMPLETE FEE SCHEDULE BELOII
1. LOCAT;rON OF INSTALLATtON P RE IF THE WORK
1,7 '? 6/"cr:r~ERMITSH.~L~EX~. N,~w ,l),e~A~ential-Single or
AUTHORIZED UNUl:R THIS PEiMulTt;i0Family per dwelling uni t.
LEGAL DESCRIPTION . ANOONSerY~ce Included: .
It{, () ?-tJ ') / '/.. O(S"y(j<iENCED OR. IS AB "IJ I " It ems Cos t
ANY Wl {'l1\Y pF.Rlnn.
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
H Met< ATTENTIONlt)rS9J,o~ tAon:
'tOllOW rules ado ted :,' t "'quires yo~ ~o
Address 313,0 CA......p C(l?'-l( (o2lltotiflca'ionc~l.ffi'~ 'OEl:Of'eWlUtlilty
In OAR 952-00 _ 1y.,"! me f'o'e!looeartl~torth
Ci ty 5 f{-() Phone 72{P. (r::oo~ You ma a'n1 !~~ CMI19lmps01.
. calling the:6 amn ,'SPI.tlo o.t000rl<lllJlllbv
Supervisor License Number 3577 - s.,"'l1berfo th~~f (t roe.tJilllpsiIJ~Mie
r ll.~~d.tllll)}'l~tiflcation
/0-1- 0 I Center IS 1-800-332-2344).
C. Temporary Services or Feeders
Installation, Alteration or Relocation
JOB DESCRIPTION
Sptt.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Electrical Contractor ED
Expiration Date
Constr Contr. Number 2. 0 -"-I 18" Co
Expiration Date
5- '] \ -00
Signature of Supervising Electrician
--.- .~} ~~
Owners Name v f (YJ. J .
Ad d res s / t.f /J JttI Al/t.1l ( t:-r/'-
Ci ty ~ bi4/ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------~7----------------------
DATE:. I~h't ,?g-
RECEIPT 11:, . ~J>').<3~
RECEIVED BY: ",..r "-'A...I'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
-L
200 amps' 'or less I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Sum
$ 85.00 ~ 5-
-z.. $ 15.00 ~ 0
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'"
$ 40.00 !fl_
$ 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 irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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