HomeMy WebLinkAboutPermit Electrical 1998-6-25
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SPRINGFIELD
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eo oWng
zoning, and dose not requlre epeclllc land use
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NGfl6'=' rr / ELECTRICAL PERMIT APPLICATION
9~~Em~~~~ALL~~'FTHEwt1RkJOb Number 91077J
OFFICE: 726-3759 Aut~~'~'iCEr; I
- '!O ~ llLE!t~Qi:E SCHEDULE BELOII
1. LOCATION OF INSTALLAT~eA1MENCED OR IS ABANDONED FOR
;:;;")"1'~ ~I/ "lVl ~Pf~JeD DAY PC:~IOD A. New Resldential-Sing1e or
. . Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
(/() 3/~OO {}//I'l Items
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
JOB DESCRIPTION
iYl:sf/J// 6f'/'IlYi'+Y
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t ro I Secu r i ty or Relocation:
Address P.O. Box 21009
City Euuene
Phone 461 - 5678
Supervisor License Number - / (o'llq I? E. T
Expiration Date
/t) - /- qCj
Constr Contr. Number 65149
Expiration Date
6-28-00
Owners Name worvi frorJllr:/::.
Address 356'7 Ct:tfeuXl II. SU/N /
CitY.5.pr/?}P/dd Phone 74-'7-42'31
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
--------------t--1---------------------
DATE: ~/)nf'r IJ
RECEIPT 11: I ()7; ,).5,-.. / ' / i
RECEIVED BY: /i j' IA/~
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "B" above
$ 35.00
$
2.00
200 amps or less
201 amps to 400 amps
Signa~,5e of );orVi~g Electrician Over 401 to 600 amps
'/~~ Over 600 amps or 1000 volts
Cr. ~ D. Branch Circui ts
eo(f Uniol'\
New, Alteration or Extension Per Panel
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm / $ 36.00 .3fnov
5. SUBTOTAL OF ABOVE 3(0 IJb
5% State Surcharge J /yO
3% Adminis t ra t i ve Fee /0 if>
TOTAL . ::?R 0"