HomeMy WebLinkAboutPermit Electrical 1998-2-17
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SPRINGF'lELD
The following projectll8 eubmllled t.J tho following
zoning, and does not require epeclllc IIlnd .....
"Pproval,
Zoning Let V
.~ -1'7-'1'6
9I11.,do"'~.)jfjIgnetuft> n rY\
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. W,liATION..Qf INs:rALLAT~N .
"'~lo b\lU loD ~n\'l..\L
LEGAL DES~PTIOJ:i r' ~,
\<l.O~()~~\ n~l)
,b.lJ~~t~ ~ 23kJt
perm\)s are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~ ~6'~~
Addres's,fftft:J 1.6 OM! A:..,.</
-- ~ .
City J::.u.ae?-/V..e Phone b5-t-{)<9tJ..5
Supervisor ~icense Number ~~~~
Expiration Date
Q//O/9r?'
ELECTRICAL PERMIT ~PLICATION
,., ty Job Number \.\ ~til~
3. COMPLETE FEE SCHEDULE BELOY
A. New Residen t ial-Single or
Multi-Family per dwelling
Service Included:
.1 t ems
1000 sq,ft, or less I
Each additional 500
sq. ft or portion t{
thereof ;, )
Each Manuf'd Home. or
Modular 'Dwelling
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
uni to
Cost Sum
$ 85.00 .85.
'$ 15,00 ~
$ 40:.09,
$ 50,00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less ~ $ 40.00 40
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D. Branch Circuits
,
Constr Contr. Number ~~~~~
Expiration Date
q//6/9?
Signatu~~~trician
Owners Name tOl(\' ~OOOJ:\ ~
Addressti~~ ('{). 4t)-\V\ ~
Ci tY\..~\ili~~Phone~
\ ~\\' .
O\INER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent,
Owners Signature:
DATE:u";>'-/? ,?e<p"iif;
RECEIWlI: ~~'2- "":>
0Iu"~Tl1pn ~v: ..~ .-, ~.....
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or 'Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
"'^.,..~ T
f..'....
" . ..~....
$ 35,00
$ 2.00
no t i neluded)
$ 40,00'
$ 40.00
$ 20.00
$ 36,00
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In.W
&. lloW
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