HomeMy WebLinkAboutPermit Electrical 1998-6-18
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S.NGFIELD
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Dale (p':'\ X -<j 'i
225 FIFTH STREET Aulhortzed Slgnaturo r\ l'Y\
SPRINGFIELD, OREGON 97477
INSPECTION REQ:JEST: 726-3769 Cf.: E. Ir~t\~~ Number
OFFICE: 726-3759 ~O\\ . \-Ie.l_'- E.'/..fllf\ l't..le; ~Oi
flE.RW,\\ S 'Y. -ffi~ I '~'EE SCHEDULE BELOII
1. LOCATION 61ctfr;tLATION i\-llS - D Ij\>\OE.f\ E.Q rOf\
7Z2,(~ '/ ~\\\\-IOR\L.E.OA'IS ~~Q~la~mtial-Single, or
- . ~(~CSO ~ ,~ultl-Famlly per dvelllng unit.
yE&'\L DES~P:tIQNQ ;:\CO\.f' , ,,/l,'< ptf\i()'Service Included:
(601. n.L~/ Q.~O V",Ny~I\l).. Items
~JOB DE CRIPTIO~J
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Permits ar non-transferable and explre
if vork is not started vi thin 180 days
of issuance or if vork is suspended ~or
180 days.
ELECTRICAL PERMIT APPLICATION
9r;o D$S
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
j) 'A. /. C. ,,,} (],^_ L Installation, Alterations
Electrical Contractor II!~n~ Relocation:
Address ~[?, Bot. W()~Ll~ . 200 amps or less
~ 201 amps to 400 amps
Ci ty P Phone LfE;>L/ ,qOl B' 401 amps to 600 amps
601 amps to 1000 amps
Supervi or License Number (t1~~ Over 1000 amps/volts
Reconnect Only
i
. ,
Expiration Date
Constr Contr,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~------7o-~~t2f-~~---------------
RECEIPT jI: I IJ'sfoJ<:!'l +-
RECEIVED BY: "'" - Ill/'\.. lA
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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
1Zr 0,
Ovner~ Name K l vi (\ JOnk:2-
Address ;L).7 S. L/6i'~ {Jlao.-
CitySp(/~dk<<d Phone 1)&-&Cf7Cf
O\INER lALLATION
$ 40.00
$ 55.00
$ 80.00
see liB" abov~
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith 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 2'?ov
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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