HomeMy WebLinkAboutPermit Electrical 1998-4-16
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SPRINGFIELD
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I e l .
zoning, and does nol require opeclflc land us~
approval. \ 1 . r
Zoning..l(bY
ELECTRICAL PERMIT APPLICATION
.~ Job Number woLf! 2-
~~ W.... .
~~~~~~~~1m SCHEDULE BELOII
1. LOCATION 0 ~NSTALLATIOIL\C~' >..ll'-\.\. ~ S 9~~ O'?-
O~ _,~\"'i'O\' ?-~~~-~~~~!!'i:i1ential-Single or
~'O,?'(;.,.I <;)'\j~\)'e ~I'-~Mti-Family per dwelling unit.
I ~AI,. Q~PTIOJl, 1/''(; K~O~\t'e O~ \'0 f>I Service Included:
o U..J. U'\/ J f)'10 \I-.'\j ...~\r:ii:.\) <\\O\) , Items
. O~~\~ -{ ?~"
JOB DESCRIPTION 0 l'( \~ \)1" . 1000 sq. ft. or less
<;n IlYi+q ,phOM:<' Cllbtl' aft.~ni7\ Vilb...Lct1J Each addi tional 500
, . I , sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular .Dwelling
180 days. Service or Feeder
.B. Services or Feeders
~ . Installation, Alterations
Ill'b'Dnt.C!9r Reloca t ion:
Date
225 FIFTH STREET .. (\ M
SPRINGFIELD. OREGON "9"lti"l'l'd Signature . .. \
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractow,:/ffC:;: brill.
Address "PO. ?'.nY-. L!D6J.'i<
City ~l1ql'np, Phone~-Ll01.:b
Supervisor License Number .l.9$.1. R€L
Expiration Date
Constr Contr. Number Cj'll; I Ll.c:;
Expiration Date____
Sirdtf~'
'"' - .-
Owner~ Na~e~e~Wen
Address .:J IDt :3 n r;::, n -bf nr I ~ ~
,
Ci ty {I. rI'<" 1.1 jp' J Phone:I!:l1.J ~ ;Vi? 3 7
01lNER INSTALLATION
The installation is bing made
property I own which is
for sale, ease or t.
iiA~E~ _It III. Tr -_ .'\ _
RECEIPT~: ' 03 U,S':-. 0
RECEIVED BY: ~ 'Yhl"
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
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci rcui ts
$ 40.00
$ 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
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 (S/.OO
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE W.r.;:;U
5% State Surcharge I.~C/
3% Administrative Fee
TOTAL UJ aU