HomeMy WebLinkAboutPermit Electrical 1998-6-19
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225 FIFTH STREET '
SPRINGFIELD, OREGO~SIgnalllre f\ \'VI
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF/INSTALLATION
761& ?l4t:-/R'/t ~/IIG
LEGAL DESCRIPTION
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JOB DESCRIPJION J Ilr
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty Phone~'NOp.\<.
Mo1\Gt.", \:.~?\P.E \1" \ 01
Supervisor Li"t"ltns~~~I\\.\. : rE~~1i IS~
1\'1IS? t-IO\:.R 1\'1\:> fOR
Expiration Dat:Clil.l()?llcO\l ~I\IOOt-li.tl
f\' CEOOl'l,G C.
Cons tr Con tr. l!YO~ {~~~\('\tJ,
~N'( ,el\ul(
Expiration Datl~
Signature of Supervising Electrician
Ovners Name /~" t:hrv d.A" fZ-. '" ;6 .i"-;U~
Address '/0 ~ 6' r;/.;c /:-v- {};.-,~
Ci ty ~4),,~,h'e{rl Phone 7Y';::~ 3/ f c/
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OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or ren t.
Ovners Signature: ,~ __
~~~__~/6?-~~
--~--~-----~t~l'--------------~-------
DATE: 6 Iff f(r
RECEIPT jf: '0 ~ i'7 r /1
RECEIVED BY: Ai/.. WM;o// ,
ELECTRICAL PERMIT APPLICATION
City Job Number 9?(' 70ft
3. COMPLETE FEE SCHEDULE BELOlI
A. Nev Residential-Single or
Mul ti-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder $ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
,One Ci rcui t / $ 35.00 jr
Each Additional
Circuit or with Service
or Feeder Permit 1.-- $ 2.00 37-
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
5. SUBTOTAL OF ABOVE 31; ~
5% State Surcharge I. ~~
3% Administrative Fee J J I
TOTAL "3' "j. "1 b